Get Kings/tulare Homeless Alliance Intake Form 2019-2026

Filling out the Kings/Tulare Homeless Alliance Intake Form online is an essential step in accessing the resources and support you need. This guide will provide you with clear instructions on how to complete each section of the form accurately and effectively.

Follow the steps to complete the intake form online.

1. Press the ‘Get Form’ button to access the intake form and open it in your chosen digital editor.
2. Begin with the Intake Summary section. Enter the engagement date and the client ID, which is provided automatically. Specify the referral source or site where you received assistance.
3. Proceed to the Client Demographics section. Enter the client's first, middle, and last name. Choose the appropriate data quality option from the list provided. Input the phone number, Social Security Number (SSN), and date of birth while following the prompts.
4. Complete the ethnicity and race sections by selecting the appropriate categories. Note that at minimum, the approximate year of birth is required.
5. Fill out the gender identification, disabling condition, veteran status, and relationship to the head of household. Select the most accurate options available.
6. In the Living Situation Prior to Entry section, select one option from A, B, or C that best describes the client's living situation before entry.
7. Next, provide information on the Length of Stay in the prior living situation by selecting the appropriate duration options.
8. In the Program Specific Information section, indicate whether the client is covered by health insurance, select the relevant sources, and answer questions regarding any disabling conditions or health issues.
9. Provide information on any income the client may have, noting various sources and dollar amounts where applicable.
10. After completing all sections and ensuring all information is accurate, save the changes to the form. You can download, print, or share the completed intake form as needed.

Start filling out the Kings/Tulare Homeless Alliance Intake Form online today to access the support you need.