
Get the free Permanent Supportive Housing Intake Form PAS-118H - oasas ny
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New York State Office of Alcoholism and Substance Abuse Services Medicaid Redesign Team Permanent Supportive Housing Intake Form RESIDENT NAME: RESIDENT ID #: SUBSTANCE USE HISTORY DATE OF ADMISSION:
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How to fill out permanent supportive housing intake

How to fill out a permanent supportive housing intake:
01
Begin by gathering all necessary documents and information such as identification, income verification, housing history, and any medical, mental health, or substance abuse records. This will help provide a comprehensive picture of your needs and eligibility for permanent supportive housing.
02
Contact the local housing authority or organization responsible for administering the permanent supportive housing intake. They will provide you with the necessary forms and guidance on how to complete them.
03
Carefully review the intake form and instructions provided. Make sure to understand each section and what information is required. If you have any questions or need assistance, don't hesitate to ask the housing authority or organization for guidance.
04
Fill out the intake form accurately and honestly. Double-check your responses to ensure they are complete and provide all necessary details. Providing accurate information will help improve your chances of being matched with suitable permanent supportive housing options.
05
Attach any required supporting documentation to your intake form. This may include copies of identification, income verification, housing or homelessness history, or medical and mental health records. Make sure all documents are legible and include the necessary information.
06
If there are any additional forms or releases of information required, ensure that you complete them accurately and provide any necessary signatures.
07
Once you have completed the intake form and gathered all required documentation, submit your application to the designated authority or organization. Follow their instructions for submission, whether it is through mail, email, or an online portal.
08
Keep copies of your completed intake form and all supporting documentation for your records. This will be helpful if you need to reference any information in the future or if there are any discrepancies during the intake process.
Who needs permanent supportive housing intake?
01
Individuals and families who are experiencing homelessness or are at risk of homelessness may need to complete a permanent supportive housing intake. This includes individuals who may have physical or mental health disabilities, chronic illnesses, substance abuse issues, or other factors that contribute to their housing instability.
02
Permanent supportive housing is designed for individuals who require ongoing support services in conjunction with stable housing. This could include services such as case management, mental health counseling, substance abuse treatment, life skills training, or assistance with securing employment and accessing community resources.
03
The purpose of the intake process is to assess individuals' and families' eligibility for permanent supportive housing and to match them with appropriate housing options and support services based on their specific needs and circumstances.
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What is permanent supportive housing intake?
Permanent supportive housing intake is the initial assessment process to determine eligibility for housing and support services for individuals experiencing homelessness or at risk of homelessness.
Who is required to file permanent supportive housing intake?
Individuals seeking permanent supportive housing are required to file the intake.
How to fill out permanent supportive housing intake?
To fill out permanent supportive housing intake, individuals must provide information about their housing history, income, disabilities, and other relevant details.
What is the purpose of permanent supportive housing intake?
The purpose of permanent supportive housing intake is to assess eligibility for housing assistance and support services for individuals in need.
What information must be reported on permanent supportive housing intake?
Information such as housing status, income, disabilities, and household composition must be reported on permanent supportive housing intake.
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