INTAKE

Services Only – Intake Form – All Clients

Street Outreach – Intake Form – All Clients

DISCHARGE

HHS: PATH All – Discharge Form – All Clients

INTAKE

Basic Center Program Emergency Shelter – Intake Form – All Clients

Transitional Living Program & Maternity Group Home – Intake Form – All Clients

Street Outreach – Intake Form – All Clients

DISCHARGE

Basic Center Program Emergency Shelter – Discharge Form – All Clients

Street Outreach – Discharge Form – All Clients

INTAKE

Permanent Housing – Intake Form – Adults & Head of Household
PH Intake Form- Minor Household Members

Transitional Housing – Intake Form – Adults & Head of Household
TH Intake Form – Minor Household Members

Rapid ReHousing – Intake Form – Adults & Head of Household
RRH Intake Form – Minor Household Members

Street Outreach – Intake Form – All Clients

DISCHARGE

HUD: CoC All – Discharge Form – All Clients

INTAKE

Street Outreach – Intake Form – All Clients

Emergency Shelter – Intake Form – Adults & Head of Household
ES Intake Form- Minor Household Members

Rapid ReHousing – Intake Form – Adults & Head of Household
RRH Intake Form – Minor Household Members

Homelessness Prevention – Intake Form – Adults & Head of Household
HP Intake Form – Minor Household Members

DISCHARGE

Street Outreach, Emergency Shelter, Rapid ReHousing – Discharge Form – All Clients

Homelessness Prevention – Discharge Form – All Clients

INTAKE

Permanent Housing – Intake Form – Primary Clients & Head of Household
PH Intake Form- Minor Household Members

Transitional Housing – Intake Form – Primary Clients & Head of Household
TH Intake Form – Minor Household Members

DISCHARGE

HUD: HOPWA All – Discharge Form – All Clients

INTAKE

Permanent Housing – Intake Form – Adults & Head of Household
PH Intake Form- Minor Household Members

DISCHARGE

HUD: HUD/VASH All – Discharge Form – All Clients

VA:  SSVF

INTAKE

Homelessness Prevention – Intake Form – Adults & Head of Household
HP Intake Form – Minor Household Members

Rapid ReHousing – Intake Form – Adults & Head of Household
RRH Intake Form- Minor Household Members

VA:  Grant Per Diem

INTAKE

Grant Per Diem – Intake Form – Adults & Head of Household
GPD Intake Form – Minor Household Members

New CRHMIS Projects

CRHMIS Project Participation

Projects must complete the HMIS Project Set-Up Request Form (updated October 2017) to join the CRHMIS, and submit it to kclark@caresny.org

Funder and Reporting Requirements

The HUD Project Setup Tool (published September 2017)is a simple Excel-based tool released by HUD to assist agencies in determining what the required elements of their projects are by program funder.

Existing CRHMIS Projects

CRHMIS Project Monitoring

HMIS Project Monitoring Tool 2017-2018 (updated March 2018)

HMIS Privacy and Data-Sharing

Projects must have ALL clients sign the CRHMIS Inclusion Disclosure/Client Informed Consent and Release of Information Form (or have the CRHMIS Release of Information Form for Minors and Incapacitated/Disabled Adults filled out on their behalf) as part of intake/admission.

There is a separate CRHMIS RHY Inclusion Disclosure Form for use in RHY-funded programs.

Forms were updated April 2018.

CRHMIS – User Guide (Updated January 2018)

CRHMIS – Request/Remove User Access Form (Updated October 2017)

CRHMIS – User Agreement Form (Updated April 2018)

2017 HMIS Data Dictionary

2017 HMIS Data Standards Manual

HMIS Data Elements – The 5 W’s of HMIS Data Collection (Updated October 2017)