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HIS ProgramSpecific Adult Intake Form (4/9/2015) Please answer all questions. Fill out one form for each Adult family member at program entry. (FOR AGENCY USE ONLY) Program Entry Date: / / Is Client

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What is hmis program-specific adult intake?

HMIS program-specific adult intake is a form used to collect information about adults accessing a specific program or service within the HMIS system.

Who is required to file hmis program-specific adult intake?

Service providers or case managers responsible for collecting client data and entering it into the HMIS system are required to file HMIS program-specific adult intake.

How to fill out hmis program-specific adult intake?

To fill out HMIS program-specific adult intake, the service provider or case manager must gather relevant client information such as demographics, housing status, income, and other service needs, and accurately enter it into the HMIS system.

What is the purpose of hmis program-specific adult intake?

The purpose of HMIS program-specific adult intake is to collect data on the adult clients accessing a specific program or service to track outcomes, improve services, and make informed decisions.

What information must be reported on hmis program-specific adult intake?

Information such as client demographics, housing status, income, service needs, and program outcomes must be reported on HMIS program-specific adult intake.

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