Get Permanent Supportive Housing Referral Form Iris Court

This guide provides clear and concise instructions for completing the Permanent Supportive Housing Referral Form Iris Court online. By following these steps, you will ensure that all necessary information is included, helping to streamline the approval and intake process.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by filling out the client information section. Enter the client's name, gender, date of birth, phone number, address, living situation, and Aboriginal status if applicable.
3. In the referring source information section, provide the names of relevant contacts, including the housing program staff, referral agency/unit, primary mental health worker, and any family or guardian contacts.
4. Detail the housing and homelessness history by indicating the types of housing the client has experienced, how long they lived in each situation, and whether they are currently facing eviction.
5. Answer the section on frequent contact with emergency services or multiple hospitalizations, showing the applicant's healthcare history.
6. Identify the strengths of the applicant that could support their success in permanent supportive housing. Check all relevant strengths from the provided list.
7. Address any existing diagnoses of mental illness by selecting all applicable conditions, ensuring a comprehensive view of the client’s mental health.
8. Evaluate if the applicant requires specific interventions regarding physical health and medication assistance.
9. Review any safety concerns that may affect the applicant, including risks to themselves or others. Provide comments as necessary.
10. Indicate challenges that the applicant faces which may require additional supports in their living situation.
11. Confirm if the applicant is aware of and agrees to the referral. Finally, submit the completed form as directed.
12. Once all sections are filled out, save your changes, and download or print the form for your records. Ensure that the form is fully completed before submission to avoid delays.

Begin filling out your Permanent Supportive Housing Referral Form Iris Court online today to ensure timely support.