When a client has a reassessment from the public health nurse, their allocated hours can increase if the nurse determines that they now need additional services. The nurse may also reduce the time allocated for PCA services if he/she does not believe the client needs all of the services they were previously receiving. If a client does not believe the decrease was warranted, they may file an appeal. The appeal must be filed within 10 days of the date in the upper left corner of their current service authorization. Most appeals are completed over the phone. A judge listens to the evidence supplied by the client, such as doctors notes, and then makes a determination. The judge can increase, decrease, or uphold the units allocated to the client by the nurse.