Get Ca Contra Costa Hmis Project Hmis Update Form 2023-2025

This guide provides clear instructions on completing the CA Contra Costa HMIS Project HMIS Update Form online. By following these steps, users can ensure that all relevant information is accurately captured for effective case management.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your available digital editor.
2. Begin by entering the client’s name in the designated field, followed by the Social Security Number (SSN) and date of birth. Ensure these details are accurate to avoid any issues in processing.
3. Fill out the agency or program name where the client is receiving assistance, and indicate the date when the form is effective.
4. Next, the case manager should enter their name, phone number, and email address for effective communication and follow-up.
5. Respond to each question regarding disabilities by indicating 'Yes' or 'No' for each category listed. Be sure to provide additional details if requested.
6. Complete the employment status section, providing information on whether the client is employed or not, along with reasons if they are unemployed.
7. Document the income the client has received from various sources over the past 30 days by entering the amounts in the specified fields.
8. Indicate any non-cash benefits the client has received in the past 30 days, clearly answering 'Yes' or 'No' for each benefit listed.
9. Provide information regarding the client's health insurance status, ensuring to check all applicable coverage options and offering reasons for any lacking insurance.
10. Fill out the housing placement or new housing situation section by selecting the appropriate option that describes where the client currently resides.
11. For the new permanent housing address, accurately fill in the address fields for location verification.
12. If applicable, complete any additional sections required for HOPWA programs, including questions related to health services received and personal medical data.
13. Once all sections have been completed, review the information for accuracy. Users can then save changes, download, print, or share the form as necessary.

Start completing your CA Contra Costa HMIS Project HMIS Update Form online now for timely updates.