Broker (Where applicable) The person who will provide oversight and – management as well as recive the moneys into a bank account in the patients name. Signature: ____________________________________ Date: ________________________________________ 4th Representative the person receiving and managing the Personal Health – Budget on behalf of the above named person Signature: ____________________________________ Date: ________________________________________
Broker (Where applicable) – The person who will provide oversight and management as well as recive the moneys into a bank account in the patients name. Signature: ____________________________________ Date: ________________________________________ 4th Representative – the person receiving and managing the Personal Health Budget on behalf of the above named person Signature: ____________________________________ Date: ________________________________________
draft_liverpool_ccg_phb_policy_and_procedures_1_0_-_qsoc_march_2018.docx