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Client Consent and Release of Information Forms

  Clients MUST be given a notification and consent form that explains HMIS and why their
personal information is being collected.
  IF data is to be shared with other agencies, clients are also given a release of information form
which they must sign or verbally agree to.
  Links to forms and instructions are in the area below.
  Your agency can modify the "Client Forms" to fit your particular situation, but you are encouraged to seek legal counsel before doing so. They are designed to meet legal requirements and to provide clear information to the clients.
  Agencies are responsible for arranging translation services for their clientele. One possible
resource is http://www.languageline.com



Client Forms - Privacy Protection and Data Confidentiality

Southern Nevada
Client Consent
Client Information Sheet
Client Revocation of Consent
Northern Nevada/BOS
Client Consent
Client Information Sheet
Client Revocation of Consent


Agencies - Setup and Implementation

Southern Nevada
HMIS Basic Intake Form
HMIS Intake Desk Sign
Data Sharing Agreement
User Policies & Guidelines
Memorandum of Understanding
Standard Operating Procedures
Miner Client Grievance Form
Miner Pricing Structure
Program Eligibility Filters
Northern Nevada/BOS
HMIS Basic Intake Form
HMIS Intake Desk Sign
Data Sharing Agreement
User Agreement
Memorandum of Understanding
Standard Operating Procedures
Program Eligibility Filters



MetSYS System Documentation

  MetSYS Client Management Users Guide
  MetSYS Program Management Users Guide


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Home | About HMIS | Who should participate? | Entering data into HMIS | Consent Forms | Events and Trainings
Request Technical Assistance | Funders and Partners | Links | Contact Us | Help