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CCHMIS Manuals, Request Forms, and Resources

TypeCategorySubcategoryFunderTitle of ResourceResource TypeDate Added/UpdatedNotes
FormCOVID-19CCHMISCOVID-19 (Coronavirus) Awareness Screening FormPDF
DOC
20-MarA new form is available to help with screening. The purpose of this screening is to ensure that participants in your program have awareness of COVID-19 (Coronavirus).

This is not intended to be a medical screening or diagnostic tool. This screening tool is intended to help programs manage activities related to client awareness, potential personal contact, and general symptom monitoring.
FormCOVID-19IntakeHUD: ESG/STEHPEmergency Shelter IntakePDF20-Nov
FormCOVID-19Informed Inclusion FormDOC PDF20-MayThe purpose of this form is to inform clients of HMIS data entry and for clients to authorize or modify data sharing preferences within the HMIS.
FormCOVID-19IntakeHUD: CoCTransitional Housing Intake Form with COVID-19 ScreeningPDF20-Aug
FormCOVID-19IntakeHUD: ESG/STEHP
Column
Emergency Shelter Intake Form With COVID-19 ScreeningPDF20-Aug

Important Administration Updates

File (click to download) Description
Download Manual: CARES Collaborative HMIS (CCHMIS) Administration Manual (Policies & Procedures) (PDF)Review the policies and procedures for working with CARES HMIS.
Download DCN Poster: CCHMIS Data Collection Posted Sign (PDF)Inform clients about the collection of their data by posting a Data Collection Notice.
Download Form: CCHMIS Client Disclosure & Consent Form - 2019 Request clients to authorize or modify data sharing preferences. All clients must have this form on file.
Download FormCCHMIS Client Disclosure for Street Outreach and RHY Only Form - 2019Inform clients of HMIS data entry and request clients to authorize or modify data sharing preferences.
Download Membership: CARES Collaborative HMIS Advisory Committee (PDF)View the members of the CARES Collaborative HMIS Advisory Committee.
Download Charter: CARES Collaborative HMIS Governance Charter (PDF)Learn about the governance responsibilities for the CARES Collaborative
HMIS and participating agencies.
Program TypeResource TypeManual Name
AnyManualHMIS Data Standards Manual for 2020
HUD: CoCManualCoC Program Manual
HHS: PATHManualPATH Program Manual
HHS: RHYManualRHY Program Manual
HUD: ESG / STEHPManualESG Program Manual
HUD: HOPWAManualHOPWA Program Manual
HUD: HUD/VASHManual2019 HUD/VASH Program Manual
VAManualVA Programs Manual
VAData GuideVA Provider Data Guide October 2019

CCHMIS e-Forms

Form NameDescription
User Agreement FormRequired for new HMIS users.
Agency Agreement FormRequired for new participating HMIS agencies.
HMIS Report RequestRequest a custom HMIS report.
HMIS Project Setup RequestNeed a new HMIS project created?
HMIS (AWARDS) Password ResetLocked out of HMIS (AWARDS)? Fill out this form to get your password reset.
New HMIS User Access Request FormRequest HMIS User permissions for a new User.
Modify HMIS User Access Request FormRequest HMIS User permissions edits for an existing User.
Terminate HMIS User Access Request FormRequest the removal of HMIS User permissions from an existing User.
HMIS Training RequestNeed training on something not available in the HMIS training library?
After-Hours Help Desk RequestNeed help performing live data entry outside of normal working hours? There is a CSR ready to assist you.
HMIS New User Training Part I: Policies and Procedures
Take the first part of the CARES Collaborative HMIS New User Training Series.
HMIS New User Training Part II: AWARDS Navigation
Take the second part of the CARES Collaborative HMIS New User Training Series.
HMIS New User Training Part III: Basic Data Entry
Take the third part of the CARES Collaborative HMIS New User Training Series. After completing this part, don't forget to submit your required documentation.

CCHMIS Paper Forms

Program TypeForm TypeFormNotes
AnyIntakeHMIS Universal Data Elements Only Intake Form
HHS: PATHIntakeServices Only – Intake Form – All ClientsUpdated April 2018
HHS: PATHIntakeStreet Outreach – Intake Form – All ClientsUpdated April 2018
HHS: RHYIntakeBasic Center Program Emergency Shelter – Intake Form – All ClientsUpdated April 2018
HHS: RHYIntakeTransitional Living Program & Maternity Group Home – Intake Form – All ClientsUpdated April 2018
HHS: RHYIntakeStreet Outreach – Intake Form – All ClientsUpdated April 2018
HUD: CoCIntakeTransitional Housing Intake Form with COVID-19Updated August 2020
HUD: CoCIntakeCoordinated Entry – Intake FormAdded July 2019
HUD: CoCIntakePermanent Supportive Housing (PSH) – Intake formAdded July 2019
HUD: CoCIntakePermanent Housing – Intake Form – Adults & Head of Household – January 2019
HUD: CoCIntakePH Intake Form- Minor Household Members
HUD: CoCIntakeTransitional Housing – Intake Form – Adults & Head of Household – January 2019
HUD: CoCIntakeTH Intake Form – Minor Household Members
HUD: CoCIntakeRapid ReHousing – Intake Form – Adults & Head of Household – January 2019
HUD: CoCIntakeRRH Intake Form – Minor Household Members
HUD: CoCIntakeStreet Outreach – Intake Form – All Clients
HUD: ESG / STEHPIntakeES Intake Form With COVID-19Updated November 2020
HUD: ESG / STEHPIntakeEmergency Shelter (ES) – Intake formAdded July 2019
HUD: ESG / STEHPIntakeEmergency Shelter – Intake Form – Adults & Head of Household – March 2019
HUD: ESG / STEHPIntakeES Intake Form- Minor Household Members
HUD: ESG / STEHPIntakeRapid ReHousing – Intake Form – Adults & Head of Household – January 2019
HUD: ESG / STEHPIntakeRRH Intake Form – Minor Household Members
HUD: ESG / STEHPIntakeHomelessness Prevention – Intake Form – Adults & Head of Household
HUD: ESG / STEHPIntakeHP Intake Form – Minor Household Members
HUD: HOPWAIntakePermanent Housing – Intake Form – Primary Clients & Head of HouseholdUpdated April 2018
HUD: HOPWAIntakePH Intake Form- Minor Household MembersUpdated April 2018
HUD: HOPWAIntakeTransitional Housing – Intake Form – Primary Clients & Head of HouseholdUpdated April 2018
HUD: HOPWAIntakeTH Intake Form – Minor Household MembersUpdated April 2018
HUD: HUD/VASHIntakePermanent Housing – Intake Form – Adults & Head of HouseholdUpdated April 2018
HUD: HUD/VASHIntakePH Intake Form- Minor Household MembersUpdated April 2018
VA: GPDIntakeGrant Per Diem – Intake Form – Adults & Head of HouseholdUpdated April 2018
VA: GPDIntakeGPD Intake Form – Minor Household MembersUpdated April 2018
VA: SSVFIntakeHomelessness Prevention – Intake Form – Adults & Head of HouseholdUpdated April 2018
VA: SSVFIntakeHP Intake Form – Minor Household MembersUpdated April 2018
VA: SSVFIntakeRapid ReHousing – Intake Form – Adults & Head of HouseholdUpdated April 2018
VA: SSVFIntakeRRH Intake Form- Minor Household MembersUpdated April 2018
Program TypeForm TypeFormNotes
HHS: PATHDischargeHHS: PATH All – Discharge Form – All ClientsUpdated April 2018
HHS: RHYDischargeDischarge Form – BCP, MGH, TLPUpdated April 2018
HHS: RHYDischargeDischarge Form – Street OutreachUpdated April 2018
HUD: CoCDischargeAll Projects (PSH/RRH/TH/SO) – Discharge formAdded July 2019
HUD: CoCDischargeHUD: CoC All – Discharge Form – All Clients
HUD: ESG / STEHPDischargeES & Prevention – Discharge formAdded July 2019
HUD: ESG / STEHPDischargeStreet Outreach, Emergency Shelter, Rapid ReHousing – Discharge Form – All Clients
HUD: ESG and STEHPDischargeHomelessness Prevention – Discharge Form – All Clients
HUD: HOPWADischargeHUD: HOPWA All – Discharge Form – All ClientsUpdated April 2018
HUD: HUD/VASHDischargeHUD: HUD/VASH All – Discharge Form – All ClientsUpdated April 2018
Program TypeForm TypeFormNotes
AnyUpdateAdmission Record Update Form – UniversalUpdated April 2018
AnyUpdateFace Sheet Update Form – UniversalUpdated April 2018
AnyUpdateAging into Adulthood Update Form – UniversalUpdated April 2018
Program TypeForm TypeFormNotes
AnyAssessmentAnnual Assessment Form – UniversalUpdated April 2018
Program TypeForm TypeFormNotes
AnyContactStreet Outreach Contact Form – UniversalUpdated April 2018

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