Get Hmis Intake Ssvf Rapid Rehousing And Prevention Program - Caresny

Filling out the HMIS INTAKE SSVF Rapid Rehousing And Prevention Program form online can be a straightforward process when you have clear guidance. This guide will walk you through each step, ensuring you provide the necessary information with ease.

Follow the steps to complete the HMIS intake form efficiently.

1. Click ‘Get Form’ button to obtain the HMIS INTAKE form and open it in the online system.
2. Enter the project name where applicable, followed by the intake date, bed/unit, and primary worker details. Ensure all fields are completed accurately.
3. Fill in the name details: middle name, last name (including any suffix), and first name. Make sure to select the appropriate option for name data quality.
4. If applicable, provide any aliases with the respective options for data quality regarding the alias.
5. Enter the social security number, ensuring to input ‘9’ for missing digits, and choose the relevant SSN data quality options.
6. Select the gender from the given options, and complete the birthdate section, including data quality selections.
7. Indicate the individual's ethnicity and race, ensuring to select all applicable options.
8. Provide the street (mailing) address, city, state, zip, and county to complete the location information.
9. Describe the residence prior to the program entry from the provided list. Include the length of stay in the previous place.
10. Specify if the client is entering from the streets, emergency shelter, or safe haven with additional details as needed.
11. Complete the housing status and income sections, indicating any sources of income and benefits, as necessary.
12. Specify health insurance coverage and details regarding any disabilities or health conditions.
13. Provide information on any domestic abuse history if relevant, as well as educational background and veteran status, if applicable.
14. Fill out the household information section, including the number of children and individual/family types.
15. Review all entered information for accuracy before submitting the form. You can save changes, download, print, or share the completed form.

Complete the HMIS INTAKE SSVF Rapid Rehousing And Prevention Program form online today for effective assistance.