
DHS7307ENG322COMMUNITY SUPPORTS ADMINISTRATION HOUSING AND SUPPORT SERVICESHousing Focused PersonCentered Plan Person Information FIRST NAMEMILAST NAMELEGAL NAME (IF DIFFERENT FROM CHOSEN NAME)PREFERRED.
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How to fill out the MN DHS-7307-ENG online
This guide provides step-by-step instructions on how to complete the MN DHS-7307-ENG form online, ensuring a smooth and efficient process for users. It is designed to assist people in understanding the various components of the form and how to fill them out accurately.
Follow the steps to complete the MN DHS-7307-ENG online.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Provide person information by entering the individual's first name, middle initial, and last name. If the legal name differs from their chosen name, include that as well. Also, specify their preferred pronouns, plan date, Personal Medical Identifier (PMI), date of birth, phone number, mailing address, city, state, and zip code.
- Indicate the managed care plan if known, and check the appropriate diagnosis (Developmental Disability, Physical Illness, Learning Disability, Chemical Dependency, Mental Illness).
- Fill out the assessment section by selecting the relevant forms, including Professional Statement of Need, MNCHOICES, and Coordinated Entry.
- List emergency contacts if known, including the name, relationship, and phone number for each contact.
- Document information about the person's guardian, conservator, rep-payee, and/or Power of Attorney, including their name, type of authority, and phone number.
- Answer the questions in the 'About You' section, focusing on what is important, what users want others to know, and any relevant cultural, religious, or personal identities.
- In the housing goals section, indicate current living situation, satisfaction with current residence, and preferences regarding future housing locations.
- Describe housing stabilization services by providing the name and NPI of the provider, along with their contact information. Check the assessed needs related to mobility, communication, decision-making, and managing challenging behaviors.
- Explain how the assessed needs will affect the person's housing situation in 3-4 sentences.
- Outline support instructions detailing how the provider will help address the person's assessed needs related to housing.
- Complete the 'Non-Housing Related Priorities/Goals' section with relevant support topics and areas of need.
- Address risks and risk mitigation by identifying risks in housing choices and outlining steps to limit negative outcomes.
- Fill out information for the consultant or targeted case manager, including their first name, last name, provider agency, NPI, email address, and contact details.
- Review the housing focused person-centered plan signature sheet, ensuring all required parties sign electronically if applicable.
- After completing all sections, ensure accuracy and save changes. You can then download, print, or share the form as needed.
Complete your MN DHS-7307-ENG form online today!
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