Department Head Documents
West Carroll Health Systems helps clients throughout Louisiana through our collection of different clinics and hospitals that are all expertly managed by our team. On this page, we have collected vital information for our current and potential clients, including documents and the charge master, which is a master list of all our fees for medical appointments and services.
For any questions about the data collected on this page, please reach out to us today!
Medical Care Locations Throughout
North East Louisiana
Medical Care Locations Throughout
North East Louisiana
Document List
Department Heads
Mandatory
- Mandatory Packet 2024 (PRINT ALL)
- Payroll Notice (Print)
- Criminal Background Check (Print)
- UDS-Badge (Print)
- HIPAA QUIZ (Print)
- WCHS Employee Health Benefit (Print)
- LA OWCA Second Injury Board Knowledge Questionnaire (Print)
- LA State Employee Withholding (L-4) (Print)
- USCIS Form I-9 (Print)
- W-4 2024 (Print)
- Acknowledgment (Print)
- License-Sanctions Reports (Print)
- Payroll Direct Deposit Authorization WCHS (Print)
- Payroll Direct Deposit Authorization WCCC (Print)
- Payroll Direct Deposit Authorization WCHC (Print)
- West Carroll Care Center Email Home Cell Phone (Print)
- West Carroll Home Care Email Home Cell Phone (Print)
- West Carroll Health Systems Email Home Cell Phone (Print)
- Hepatitis B Consent & Declination (Print)
- Hepatitis B Virus Record (Print)
- TB Skin Test (Print)
- Employee Fact Sheet (Print)
- COVID Vac Status (Print)
Optional (Print if desired)
Master list of all medical fees: