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HIS Standard Exit Form for PATH Effective 10/01/2017Exit DateServicePoint (How) ID: //Project Name Head of Household Nonstandard Exit PATHfirstSSN Last four digitsmiddlelastsuffixIf Partial Household
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How to fill out hmis standard exit form

01
Start by gathering all the necessary information such as client details, program information, and exit reason.
02
Begin filling out the form by entering the client's personal information like name, date of birth, and contact details.
03
Provide relevant information about the program the client is exiting, such as program name, start date, and end date.
04
Specify the reason for the exit, whether it's completion, discharge, or transfer to another program.
05
Document any follow-up instructions or referrals the client may need after exiting the program.
06
Ensure all the required fields are completed accurately and legibly.
07
Review the filled form for any errors or missing information before submitting.
08
Finally, obtain necessary signatures from the client or authorized personnel involved in the exit process.

Who needs hmis standard exit form?

01
Housing agencies and organizations dealing with homeless individuals or families.
02
Shelters or emergency housing facilities.
03
Social service providers and non-profit organizations assisting vulnerable populations.
04
Government entities and agencies involved in addressing homelessness and providing support services.
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The HMIS standard exit form is a document used to record a client's exit from a homeless service program.
Service providers and agencies that receive federal funding for homeless service programs are required to file the HMIS standard exit form.
The HMIS standard exit form can be filled out electronically or manually, and requires entering information about the client's exit from the program.
The purpose of the HMIS standard exit form is to track client exits from homeless service programs and gather data for reporting purposes.
The HMIS standard exit form requires reporting information such as the client's reason for exit, destination upon exit, and services received during the program.
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