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HIS Intake and Enrollment Form COC/Client Name / ID: ACCOUNT PROFILE TAB ACCOUNT INFORMATION First Nameless Name Date of Birth (mm/dd/YYY) SSN / / Personal Pronouns (Optional) / / E.g.: She / her
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Open the online HMIS intake form on your computer or mobile device.
02
Read the instructions carefully to understand the information and documents you need to provide.
03
Begin filling out the form by entering your personal details like name, address, and contact information.
04
Answer the questions related to your income, housing situation, and any special needs or disabilities you may have.
05
If applicable, provide information about your household members and their relationships to you.
06
Make sure to provide accurate information and double-check your entries before submitting the form.
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After completing the form, review your answers to ensure they are correct.
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Submit the form by clicking the designated button or following the instructions provided.
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Wait for a confirmation message or email indicating that your online HMIS intake form has been successfully submitted.
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Keep a copy of the submission confirmation for future reference.

Who needs online hmis intake and?

01
Online HMIS intake is needed by individuals or households who are seeking assistance or services related to housing, homelessness, or resources provided by organizations using the HMIS database.
02
This includes individuals experiencing homelessness, those at risk of homelessness, or individuals already receiving housing or supportive services who need to update their information.
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Online HMIS (Homeless Management Information System) intake refers to the digital process used by organizations to collect and manage information about individuals and families experiencing homelessness or at risk of homelessness.
Organizations that provide services to individuals experiencing homelessness, such as shelters, food banks, and housing assistance programs, are required to file online HMIS intake.
To fill out the online HMIS intake, users must access the designated HMIS platform, create or log into their account, and complete the provided intake form by entering accurate and relevant information.
The purpose of online HMIS intake is to systematically gather data that helps organizations track services provided to homeless individuals, measure outcomes, and ensure compliance with funding and reporting requirements.
Information that must be reported on online HMIS intake includes personal demographics, service history, health and social needs, and housing status.
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