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Example APR assesment forms

October 21, 2011 Comments off

Sample ART data collection forms.

The following forms are example forms covering all the HUD required and recommended UDE and APR items.  These forms are designed to include the same items and pick-list choices used in the ‘APR Entry / Update with Recommended Program Specific Questions (2011) Entry Assessment’.

HMIS_ME_APR Entry Full Intake Assessment

HMIS_ME_APR Exit full Exit Assessment

STEP Program Data Entry Collection form

April 14, 2011 Comments off

Attached is the form used by STEP program for collecting data for entry into HMIS and for Application to the STEP program. This includes applicant certification and information release.

Click here to download: STEP HMIS Data Entry Form

Categories: Documents, STEP Program

2010 ME HMIS UDE Intake Collection Form, (sample)

June 3, 2010 Comments off

This sample form includes the March 2010 HUD Universal Data Elements  (To be used effective June 1 2010) plus the current Maine extended UDE / Point-in-Time questions.

Who needs this?
A one page form to collect all of the basic information required to be collected by Maine Homeless Shelters.  Shelters and others who are required to collect the HUD Universal Data Elements  should use this or a similar form to assure that all the required data is collected.

Click here to download:  hmis_me_ude_2010_intake_form_sample

Categories: Documents

User Policy and Agreement Updated Form

November 23, 2009 Comments off

User Policy and Agreement

Once your agency is set up in HMIS, it would be helpful if users could login to enter data and run reports on behalf of the agency.  All users must read, acknowledge and sign the HMIS/ServicePoint User Policy, Responsibilities Statement, and Code of Ethics before they are allowed access to the HMIS system.

The User Policy and Agreement form was updated on 07/15/2010 to clarify the program type(s) for which the user needs to be trained. This is the updated form.

Click here to download:  Addendum_E_HMIS User Policy July2010rev

Categories: Documents

Agreement Forms

August 20, 2009 Comments off

Agency Paticipation Agreement

If your agency would like to participate in the Maine HMIS, the Agency Participation Agreement is the first form you will need to complete.  The agreement covers the areas of:  terms of use, training and technical assistance, confidentiality, security, and access to data.  This agreement should be signed by an official who is authorized to enter into contractual agreements on your agency’s behalf.

Click here to download:  HMIS Agency Participation Agreement

Agency Information Form

After your agency has agreed to participate in Maine HMIS, please take some time to tell us about the types of housing and services that your agency provides.  This will assist the Maine HMIS administrators when configuring your agency in HMIS.

Click here to download:  Agency Information Form

User Policy and Agreement

Once your agency is set up in HMIS, it would be helpful if users could login to enter data and run reports on behalf of the agency.  All users must read, acknowledge and sign the HMIS/ServicePoint User Policy, Responsibilities Statement, and Code of Ethics before they are allowed access to the HMIS system.

Click here to download:   Addendum_E_HMIS User Policy July2010rev

Virtual Office Acceptable Use Policy

Maine HMIS provides automated agency reports that demonstrate HMIS participation, monitor data completeness and data quality, and document shelter funding via a secure portal called the Virtual Office.  Authorized agency users may have access to the reporting portal after they have completed and agreed to the Acceptable Use Policy for the secure reporting site.

Click here to download:  Virtual Office Acceptable Use Policy Agreement

HMIS Policy and Procedures Manual

June 22, 2009 Comments off

This document is the core part of the HMIS Policies and procedures manual.

Maine HMIS Procedures Manual Core_03_27_2009

Categories: Documents, News
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