Client Forms and Documentation

CHMIS Client Informed Consent/Release of Information

Each participating agency must post a privacy notice in intake areas and HMIS workstations. To comply with this rule for public notice, agencies should use the following, which can be edited to include the agency’s additional privacy practices:
CHMIS Privacy Notice to be posted

HUD has published data collection templates for CoC funded programs in accordance with the 2014 Data Standards, including printable forms for Client Entry, Annual Assessment and Exit:
CoC HMIS Assessment Forms from HUD (printable versions)

Emergency Shelters funded through ESG grants can download and print the following form for data collection:
Emergency Shelter Intake Assessment Form (for Individual Guests) – Updated 10/2015

Resources for Documenting Chronic Homelessness Status

Documenting Chronic Homelessness

Checklist for Chronic Homelessness

User Forms and Documentation

CHMIS User Agreement

CHMIS Policies and Procedures

CHMIS Governance Charter

CHMIS Privacy Plan

CHMIS Security Plan

CHMIS Data Quality Plan

Commonly Used Zip Codes (PDF)