Get Nc Hmis Youth Basic Intake Form

The NC HMIS Youth Basic Intake Form is an essential document designed to gather vital information about youth in various programs. This guide aims to provide a step-by-step approach to completing the form online, ensuring clarity and support throughout the process.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in the entrance date at the top of the form. This represents the date you are entering the program.
3. Enter your case manager's name to indicate who will be assisting you during the process.
4. Complete the client’s name fields. Enter your first name, middle name (if applicable), and last name.
5. Review the name data quality options. Select the appropriate response indicating how your name is reported.
6. For youth aged 18 and older, indicate if you are a military veteran by selecting 'Yes' or 'No'.
7. In the basic demographic information section, indicate your relationship to the head of household. Select from the provided options.
8. Input your date of birth and select the type of date of birth reported, ensuring clarity on full or approximate DOB.
9. Choose your gender identity from the provided options. Respond with the most accurate description.
10. Indicate your race and ethnicity. Select all that apply from the given lists.
11. Complete the sexual orientation section, selecting the option that best describes you.
12. Fill out parental engagement in care and provide information about any foster care history, if applicable.
13. Answer the homeless history questions by selecting the most accurate descriptions of your living situation before entering the program.
14. Rate your living situation’s length of stay, following instructions for different circumstances.
15. Complete any health and disability information, including disabling conditions and health statuses.
16. Provide education and employment details. Indicate the highest grade completed and employment status.
17. Respond to the income and non-cash benefits sections, including any financial support received.
18. Complete the referral information section by indicating how you were referred to the program.
19. Review all contacts and additional funder specific questions that may be required based on your situation.
20. Finally, save any changes made to the form and utilize options to download, print, or share.

Complete the NC HMIS Youth Basic Intake Form online to ensure your information is accurately recorded.