Get Arizona Balance Of State Hmis Intake Form Update Form - Cir

Filling out the Arizona Balance Of State HMIS Intake Form Update Form - Cir is essential for ensuring that client information is accurate and up-to-date. This guide provides a step-by-step approach to help you navigate the form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. In the 'Client Information' section, enter the client's full name, identification number (ID), and any aliases they may use. Ensure all information is accurate to avoid discrepancies.
3. Proceed to the 'Update Summary' section. Indicate the provider's name and the date when the update is being made.
4. For the 'Income and Benefits' section, report the total monthly income and any income sources. Use the provided options to indicate whether the client knows their income status or has refused to provide this information.
5. List the sources and amounts of income for various types, including alimony, child support, earned income, and others. Mark 'No Change at Update' if there are no changes to report.
6. Indicate if the client is covered by health insurance and specify the type of coverage, checking the appropriate box for the current status.
7. In the section on 'Disabilities', answer whether there are any changes to disabilities at the time of the update. If there are changes, provide details as needed.
8. Complete the education section by selecting the highest level of education attained by the client. If applicable, note if they are a victim or survivor of domestic violence and their current status.
9. Address any vocational training or post-secondary education received by the client. Check the relevant options based on their experience.
10. Lastly, have the staff person updating the client's record sign or provide their name to ensure accountability in the process.
11. Once all sections are filled out, you can save your changes, download the form, print it, or share it as necessary.

Complete the Arizona Balance Of State HMIS Intake Form Update Form - Cir online today to keep client records current.