Get Kings/tulare Hmis Intake Form 2019-2025

The Kings/Tulare HMIS Intake Form is an essential document used for collecting vital information to support individuals in need of housing assistance. This guide provides clear, step-by-step instructions on how to complete the form online effectively.

Follow the steps to successfully fill out the Kings/Tulare HMIS Intake Form online.

1. Press the ‘Get Form’ button to access the intake form and open it in your preferred online editor.
2. Begin by filling out the intake summary section. Provide the project name, project start date, client ID, housing move-in date, and the name of the intake staff. Ensure all fields are completed accurately.
3. In the client demographics section, input the client’s first, middle, and last names. Choose the appropriate data quality option to indicate how the name was reported. Enter the Social Security Number (SSN) and date of birth, if available.
4. Select the ethnicity and race of the client from the provided options. Remember to provide the necessary data as outlined. If the client does not know or refuses to provide certain information, use the corresponding options.
5. Indicate the client's gender and any disabilities, if applicable. Specify the veteran status as well as the client’s relation to the head of household, selecting from the available options.
6. Detail the client’s living situation prior to entry. Choose one option from the categories of homeless situations, institutional situations, or transitional and permanent housing situations.
7. Fill in the length of stay in the prior living situation. Indicate the duration as accurately as possible, based on the options provided.
8. Complete the program-specific information section, indicating whether the client is covered by health insurance and, if applicable, specify the types of coverage.
9. Provide details regarding any disabilities or health conditions that may impact the client's ability to live independently. This includes options for physical disabilities, chronic health conditions, mental health problems, and substance abuse.
10. Lastly, input any income and non-cash benefits the client receives. Clearly specify all sources and amounts. Ensure that all sections are completed thoroughly.
11. Once you have filled out the entire form, review all entries for accuracy. Save the changes, and you may choose to download, print, or share the completed document as needed.

Complete the Kings/Tulare HMIS Intake Form online to ensure your needs are accurately represented and addressed.