A signature is not required on the general HMIS ROI and agencies can document that verbal consent has been obtained from the client by indicating this on the signature line. Procedure: Projects, unless otherwise exempted, must obtain a signed Client Informed Consent to Share and Release of Information form from every head of household who will be entered into HMIS. Visit the FY 2022 HMIS Data Standards Changes page. Click here to fill out a new Provider Request Form. HMIS. Register for upcoming training, webinars, conferences, and more. There are both openness and accountability - agencies consent by signing a release of information. View Minnesota's HMIS Data Standards Guide. NEW Elements of Focus Training Days Elements of Focus Training will now be on Tuesdays only. KING COUNTY HMIS - CLIENT CONSENT TO DATA COLLECTION AND ROI- Jan 2020 King County Homeless Management Information System (HMIS) . Client Consent and Coordinated Assessment: What can I enter into HMIS? Updated November 09, 2022. CLIENT CONSENT TO DATA COLLECTION AND ROI Page 4 of 6 Version 2020-03-11 This form may not be amended or modified except on approval of the County of Santa Clara's Office of Supportive Housing. }), Presidents Day - Mon, Feb 20, 2023Prince Kuhio Day - Fri, Mar 24, 2023 (Observed)Memorial Day - Mon, May 29, 2023, Copyright 2023 Bridging The Gap Hawaii |, Prince Kuhio Day - Fri, Mar 24, 2023 (Observed), BTG Client Informed Consent Form (Jun 2018), BTG Custom Data or Report Request Form (Apr 2019), HPO Memo Re: Consent to Share Privacy Forms - 11.1.17, BTG HMIS New User Agreement and Training Request Form (Feb 2020), BTG Duplicate Client ID Merge Form (Jul 2018), FY 2022 HMIS Data Standards Manual (Sep 2021), PATHHMISProgram Specifications (Jun 2019), Adult - TH, RRH, Non-CoC Program Funded PSH & HP, Adult - ES, TH, RRH, & Non-CoC Program Funded PSH, BTG Additional Family Member Form (Sep 2021), BTG SPDAT Individual Assessment (Nov 2020), BytePages Content Management System Powered by Byte Productions. Client Consent and the HPAT: What can I enter into HMIS? Household DHS HS Entry - Housing and Supportive Services, Household DHS HS Interim - Housing and Supportive Services, Household DHS HS Exit - Housing and Supportive Services, Single DHS HS Entry - Housing and Supportive Services, Single DHS HS Interim- Housing and Supportive Services, Single DHS HS Exit - Housing and Supportive Services, Household DHS HS Entry - Emergency Shelter, Household DHS HS Exit - Emergency Shelter, Instructions: Last Updated August 15, 2022, DHS-HS HMIS User Guide for Housing and Supportive Services, DHS-HS HMIS User Guide for Emergency Shelter, Maia Uhrich: Housing and Support Services, Household LTHSSF Entry: Doc | Fillable PDF, Household LTHSSF Interim: Doc | Fillable PDF, Household LTHSSF Exit: Doc | Fillable PDF, Single LTHSSF Interim: Doc | Fillable PDF, Household SOR Entry - Street Outreach Projects: Doc | Fillable PDF, Household SOR Entry - Services Only Projects: Doc | Fillable PDF, Household SOR Interim: Doc | Fillable PDF, Single SOR Entry - Street Outreach Projects: Doc | Fillable PDF, Single SOR Entry - Services Only Projects: Doc | Fillable PDF, Instructions: Last Updated August 17, 2022, Household ESP Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Household ESP Entry - All Other Project Types: Doc | Fillable PDF, Household ESP Interim: Doc | Fillable PDF, Single ESP Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Single ESP Entry - All Other Project Types: Doc | Fillable PDF, DHS-OEO ESP HMIS User Guide for Rapid Rehousing and Homelessness Prevention, DHS-OEO ESP HMIS User Guide for Emergency Shelter and Street Outreach, Katelyn Warburton, State Program Administrator: katelyn.warburton@state.mn.us, Rabya Hassen,Homeless Grant Program Manager: Rabya.N.Hassen@state.mn.us, Household THP Interim: Doc | Fillable PDF, Instructions: Last Updated August 12, 2022, Annie McCabe, Homeless Grant Program Manager: Ann.E.McCabe@state.mn.us, PATH Street Outreach (SO) Entry-Exit Form: Doc | Fillable PDF, PATH Street Outreach (SSO) Entry-Exit Form: Doc | Fillable PDF, RHY Single Entry/Exit Combined - BCP-Prevention/TLP/MGH Programs: Doc | Fillable PDF, RHY Single Entry/Exit Combined - BCP-Emergency Shelter Programs: Doc | Fillable PDF, RHY Single Entry/Exit Combined - Street Outreach Programs: Doc | Fillable PDF, Family and Youth Services Bureau (FYSB)Website, Household HUD CoC Entry: Doc | Fillable PDF, Household HUD CoC Interim: Doc | Fillable PDF, Household HUD CoC Exit: Doc | Fillable PDF, Single HUD CoC Interim: Doc | Fillable PDF, Household ESG Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Household ESG Entry - All Other Project Types: Doc | Fillable PDF, Household ESG Interim: Doc | Fillable PDF, Single ESG Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Single ESG Entry - All Other Project Types: Doc | Fillable PDF, Instructions: Last Updated November 2, 2022, HUD-ESG HMIS User Guide for Homelessness Prevention and Rapid Rehousing, HUD-ESG HMIS User Guide for Emergency Shelter and Street Outreach, HUD- ESG HMIS User Guide for Night-by-Night Emergency Shelter , Household HOPWA Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Household HOPWA Entry - All Other Project Types: Doc | Fillable PDF, Household HOPWA Interim: Doc | Fillable PDF, Singles HOPWA Entry - Emergency Shelter & Street Outreach Projects: Doc | Fillable PDF, Singles HOPWA Entry - All Other Project Types: Doc | Fillable PDF, Singles HOPWA Interim: Doc | Fillable PDF, Hennepin County Single YHDP Entry/Exit Combined, Household VASH Entry/Exit Combined: Doc | Fillable PDF, Household VASH Interim: Doc | Fillable PDF, Single VASH Entry/Exit Combined: Doc | Fillable PDF, Household FHPAP Entry: Doc | Fillable PDF, Household FHPAP Interim: Doc | Fillable PDF, Household FHPAP Entry/Exit Combined: Doc | Fillable PDF, Single FHPAP Entry/Exit Combined: Doc | Fillable PDF, Street Outreach Single FHPAP Entry/Exit Combined: Doc | Fillable PDF, Instructions: Last Updated September 27th, 2022, Minnesota Homeless Prevention Assessment Tool (M-PAT) Guide, Household HSWH Interim: Doc | Fillable PDF, Instructions: Last Updated November 7, 2022, Homework Starts with Home HMIS User Guide, Videos: Homework Starts with Home Data Entry Demo, Household LTH Interim: Doc | Fillable PDF, High-Priority Homeless Form Instructions (video), Instructions:Last Updated August 15, 2022, Household MN Universal Entry - Emergency Shelter and Street Outreach Projects: Doc | Fillable PDF, Household MN Universal Entry - All Other Project Types: Doc | Fillable PDF, Household MN Universal Interim: Doc | Fillable PDF, Household MN Universal Exit: Doc | Fillable PDF, Single MN Universal Entry - Emergency Shelter and Street Outreach Projects: Doc | Fillable PDF, Single MN Universal Entry - All Other Project Types: Doc | Fillable PDF, Single MN Universal Interim: Doc | Fillable PDF, Single MN Universal Exit: Doc | Fillable PDF, Hennepin Single Adult Shelter Instructions: Last Updated November 1st 2022, HCC Shelter Training: Checking-in a Client with an ASC Reservation, HCC Shelter Training: Managing Clients in ShelterPoint, Hennepin Single Adult Shelters (for both night-by-night and extended stay programs), General ShelterPoint Instructions: Last Updated January 7th, 2022. Powered by Help Scout. Since its inception in 2004, BTG has utilized the HMIS to collect client-level data, as well as data on the provision of housing and services to at-risk and homeless individuals and families. All Rights Reserved. Client Informed Consent FY 2021-2022. HMIS Data Collection Template (PDF) - recent standards revision, a form any agency may use for collecting all of the required HMIS elements at enrollment and exit. Intergovernmental Review-EO 12372. HMIS_Client_Consent_Form_10-26-2016 Connections for the Homeless (Connections) is a partner in the Northeast Illinois Homeless Management Information System . Provider Request Form (PRF) This form allows the Institute for Community Alliances (ICA) to configure data collection appropriately for agencies in the database. Online Fillable Client Consent to Data Collection and ROI (2020) Client Revocation of Consent (2019) (Click here to also access this form in other languages). This document can be used as a community example, but it has not been approved or endorsed by HUD. A Homeless Management Information System (HMIS) is an online database that enables organizations to collect data on the services they provide to people experiencing homelessness and people who are at risk for homelessness. HMIS Client Consent Form: Informed Consent Agreement (Sample) Print ShareThis Date Published: June 2011 Description This is an example of an informed consent agreement. Capacity Building. All requests are subject to review by KMNH and the BTG BOD to assess complexity, feasibility, and to ensure that BTGs privacy standards are upheld. Homelessness is solvable, and by acting together as a community, all people can have a home. This form allows the Institute for Community Alliances (ICA) to configure data collection appropriately for agencies in the database. and they may reflect local laws and policies. Find answers to frequently asked questions. $(this).parent('.panel').find('.fa-minus').show(); One of these forms must be completed for EACH funding source/grant within the agency project that will be using HMIS. Homeless Management Information System (HMIS) - Intake Form. Personal Identifying Information (Name, Social Security Number, Date of Birth, Gender, Veteran Status, photo) Personal identifying information about your dependents (if applicable) (Note: Anyone 18 years of age or older must sign a separate consent form.) Grantees and their partners should go through their own process to develop Click HERE to download the videos PowerPoint slides, HMIS Standard Reporting Terminology Glossary, Household DHS HS Exit - Housing and Supportive Services, Family and Youth Services Bureau (FYSB)Website, HUD- ESG HMIS User Guide for Night-by-Night Emergency Shelter, Homework Starts with Home Data Entry Demo. Homelessness is solvable, and by acting together as a community, all people can have a home. By signing this form, I give this Agency permission to share (verbally, or through the HMIS, mail, fax, or by hand) information collected about me and any dependents listed on the back of this form with HMIS Partner Agencies, for the The data systems are known as a Homeless Management Information Systems (HMIS). *, If a project will operate in more than one Continuum of Care (CoC), you will need to complete one form for EACH CoC of service.*. HMIS Client Grievance FormRev. We want to see that homelessness is rare in King County, racial disparities are eliminated, and if one becomes homeless, it is brief and only a one-time occurrence. Data sharing is intended to meet identified needs with principles for implementation locally defined and need-based. A Homeless Management Information System (HMIS) is a locally administered, electronic data collection system that stores longitudinal person-level information about persons who access the homeless service system in a Continuum of Care. Don't Miss: Corpus Christi Food Bank Donation. SAP BusinessObjects User SettingsThis video demonstrates how all users should configure their BusinessObjects account settings. 112 or . For technical support contact nevada@bitfocus.com. 2021 CNY HMIS Entry DV Bonus Assessment, 2021 CNY HMIS Entry TH, HP & SSO Programs for Adults & HoH, 2021 CNY HMIS Entry Assessment for Adults & HoH Cayuga County Emergency Shelters, 2021 CNY HMIS Entry Assessment for Adults & HoH Tompkins County Emergency Shelters, 2021 CNY HMIS Entry Assessment for Children under 18, 2021 CNY HMIS Entry SO ONLY Assessment for Adults & HoH, 2021 CNY HMIS ES Entry Assessment for Adults & HoH, 2021 CNY HMIS HHS RHY Entry Assessment Child of Parenting Youth, 2021 CNY HMIS HHS RHY ES & SO Entry Assessment HoH or Single Youth, 2021 CNY HMIS HHS RHY TH & HP Entry Assessment HoH or Single Youth, 2021 CNY HMIS PSH Entry Assessment for Adults & HoH, 2021 CNY HMIS PSH Entry Assessment for Children under 18, 2021 CNY HMIS RRH Entry Assessment for Adults & HoH, 2021 CNY HMIS HHS RHY Annual.Update Assessment HoH or Single Youth, 2021 CNY HMIS HHS RHY Follow-up Assessment HoH or Single Youth, 2021 CNY HMIS PSH Update Annual Assessment for Adults & HoH, 2021 CNY HMIS SO ONLY Update Annual Assessment for Adults & HoH, 2021 CNY HMIS Update Annual Assessment for Adults & HoH, 2021 CNY HMIS Update ES, HP, TH, & SSO Annual Assessment for Adults & HoH, 2021 CNY HMIS Update. Agency Agreements Agency Participation Agreement (Sample)This form is an agreement between an agency and NCCEH. The HMIS and CES are shared homeless and anyone in need. Before a request is made, please review the reports page of this website and the set of existing reports that are currently available in the system. Client Consent for HMIS@NCCEH - HMIS Participating Agencies collect personal information about people they serve in a computer database called the Homeless Management Information System (HMIS). HMIS empowers agencies to track key indicators on homelessness so they can deliver . Got Questions? 2016 The Housing and Homeless Coalition of Central New York. The CNY HMIS is a system that uses computers to collect information about homelessness in order to help plan and pay for services to . Please contact mnhmis@icalliances.org if you need assistance filling out this form. www . I have the right to . The HMIS (Homeless Management Information System) is a local web-based information technology system that San Diego's Continuum of Care (CoC) uses to capture and report on client, project, and system level information regarding homeless services utilization, performance and outcomes. BTGs HMIS application enables homeless service organizations to improve case management by collecting information about client needs, goals, and service outcomes and allows for timely access to resources and prioritized referral information to better manage coordinated entry operations. HMIS Training: Completing the Electronic Consent Form 319 views Jan 9, 2019 2 Dislike Share Save Ending Homelessness 81 subscribers This five minute video provides training on how to complete the. HMIS Sample Forms Clarity Human Services Help Center 2022 Data Standards 2022 Data Standards HMIS Sample Forms The HMIS sample forms below are specific to each program listed. Appalachian Regional Commission Program (ARC) Community Development Block Grant (CDBG) Community Development Block Grant-Mitigation (CDBG-MIT) Emergency Solutions Grant (ESG) Housing Opportunities for Persons with HIV/AIDS (HOPWA) HUD Consolidated Plan and Executive Summary. This version includes a list of all agencies with access to HMIS. Please note that the training request form will need to be submitted along with the new user agreement form. This information will help increase participation and collaboration among agencies, as well as a sense of ownership and trust in the efforts to reduce homelessness. Vice President, Data Analytics. Either the Client Informed Consent form or the Client Release of Information form is required to be completed by clients who are allowing their information to be shared in Pinellas HMIS. Search for a specific grantee and view itsawards, contact information, and reports, and more. Authorized Power of Attorney or Proxy notarized letter from Client along with signed HMIS consent form. For Agencies/Projects Not Currently Set Up in HMIS: For Agencies/Projects Currently Set Up in HMIS: Data and Performance Management Meeting Materials, Article: HMIS Requirements for New Agencies. We work with and for the homeless and formerly homeless or other interested consumers and stakeholders. and my refusal to consent does not disqualify me from receiving services. HMIS Privacy & Data Sharing Overview - Client Consent Form attached at the bottom, Password: Reach out to your System Administrator. Homeless Programs Reporting ScheduleCheck out this resource for information on upcoming report deadlines. View Definitions, helpful to use with data collection. 2023 US Department of Housing and Urban Development, 2004 HUD Data and Technical Standards Notice. To comply with this requirement Kitsap County agencies that provide homeless housing and services participate in the Kitsap HMIS Collaborative, an agreement to share client data between agencies. Tourist and convention development tax return (for registered taxpayers only) Once completed and signed, please fax or mail to the number or address on the form. Governance. 2003-2021 Bitfocus, Inc. All rights reserved. 2023 US Department of Housing and Urban Development, Client Consent Form: Informed Consent (Sample), HMIS Client Consent Form: Informed Consent Agreement (Sample). Please have the following readily available as you complete this form: The Baltimore City Mayor's Office of Homeless Services serves as the HMIS Lead Agency for the Baltimore City Continuum of Care. The documents have not been reviewed by HUD or its contractors for applicability, legality, or compliance with federal statutory and regulatory guidelines. Partners In Care, 200 N Vineyard Blvd Suite A-210, Honolulu. Homeless Management Information System (HMIS) Client Consent Form Template (to be printed on Agency letterhead) Client Name: ___________________________________ Date of Birth:____________ Household members: Name__________________________________________ Date of Birth:_________________ Name__________________________________________ Date of o A copy of your consent form o A copy of your HMIS record (agency staff must review this information with you if you request such a review If you have any questions, please submit a request and a Training and Development Specialist or KYHMIS Specialist will respond. Browse the library of grantee reports and plans, organized by program. We are the organized body of informal networking and formal linkages between homeless services providers and other public and private human service providers. CNYHMIS Client Consent Form Client Name: _____ Date of Birth:_____ Agency: _____Program: _____ I know that this agency is part of the CNY HMIS (Homeless Management information System). Client Consent to Data Collection & ROI (2020), Online Fillable Client Consent to Data Collection and ROI (2020), Department of Veterans Affairs Release of Information, Consent Refused Data Entry Guide (updated 6Sept2019). Client Informed Consent is a blanket document that indicates the client wishes to share all identifying information . Housing Extension. Next Steps: Call 410-686-2867. Welcome to HMIS! See our Training page for more details on how to sign up for HMIS trainings. This consent form expires seven (7) years after the signature or at any time you choose to revoke your consent. A list of agencies participating in HMIS that may have access to your information if you sign this authorization is at . HMIS Project Set Up Form HMIS Grant Set Up Form HMIS Bed & Unit Inventory Update Form HMIS User Access Request Form New User Request Form User Policy Responsibility Statement HMIS Client Consent & ROI Client Informed Consent & Release of Information (English) Client Informed Consent & Release of Information (Spanish) HMIS CES Verification Form There are strict legal guidelines for who has access to your information, and it is protected by electronic encryption. Effective March 1, 2014, the Institute for Community Alliances (ICA) became the HMIS lead organization for the State of Wisconsin. MEASURE Evaluation worked in Ethiopia to implement a HMIS in the Southern . Section 4.2.4 of the2004 HUD Data and Technical Standards Noticeallows for retroactive application of amendments to the privacy notice, stating, A CHO must state in its privacy notice that the policy may be amended at any time and that amendments may affect information obtained by the CHO before the date of the change. The posting of these documents on the HUD Exchange is not intended as an endorsement of the documents by HUD or any of its contractors. Request to waive penalty. View MN HMIS' Provider List of over 200 agencies. Visit the FY 2022 HMIS Data Standards Changes page. HMIS data specifically designed to support planning, management, and decision making based on on Grading of facilities, various indicators at Block, District at State as well as National Level. I understand that I may obtain a copy of my signed consent . $(this).parent('.panel').find('.fa-plus').hide(); Learn through self-paced online trainings, recorded webinars, and more. The following consent forms and policy documents support specific confidentiality and security standards to protect and inform both the client and provider. Funding. All people have a home. You have the right to see your information in the HMIS, ask for changes, or ask for a printed copy upon request. If you have any questions and/ or are a part of a participating agency that needs assistance utilizing HMIS, please contact the HMIS Help Desk at 410.396.HMIS (4647) or email HMIS Support. With this form, you can give permission to have information about you collected and shared with Partner Agencies that help King County provide housing and services. There was a problem submitting your feedback. Client Revocation of HMIS ConsentIf a client decides to revoke consent, they must sign this form. $('.panel-collapse').on('hide.bs.collapse', function () { There is a clear purpose, as well as use limitations. An amendment to the privacy notice regarding use or disclosure will be effective with respect to information processed before the amendment, unless otherwise stated. In instances where past privacy notices did not include a statement about amendments and retroactive impact, client data obtained under those privacy notices would not be permitted to be used for any purposes other than the original uses and disclosures outlined in the privacy notice. HMIS. The Statewide HMIS Data Committee and HMIS Lead recently approved the use of a new HMIS consent to share form. HMIS Resource If you would like to get more technical support on the Homeless Management Information System (HMIS) please visit the OC HMIS Help Desk Knowledge Base . Legislative Affairs MyOrg. When does client consent end? We want to see that homelessness is rare in King County, racial disparities are eliminated, and if one becomes homeless, it is brief and only a one-time occurrence. This means the agency representative signature must still be present. The Housing and Homeless Coalition of Central New York (HHC) serves the City of Syracuse, the County of Onondaga, the City of Auburn, the County of Cayuga and the County of Oswego. It can mean HMIS system visibility that is very focused and specific or very general and broad. Consent' form with this agency. Decisions regarding permitted types of consent (inferred, written, verbal, etc.) The amount of information shared can also vary from provider-to-provider within one community depending on the needs of the agencies involved and the wishes of the clients they serve. HMIS Help Desk. Resource Management System. Request in-depth assistance with implementing a HUD-funded program. This form can be used to request ad hoc analysis or to develop new custom reports or dashboards. *If this project has 3 or more funding sources funding the units/beds, OR operates in 3 or moreCoCs, please contact the Helpdesk at the email above so that we can assist you in streamlining this process. (One form per adult client or unaccompanied youth under 18 with parent or guardian consent) _____ is an Authorized Agency in Hawaii's Homeless Management Information System (HMIS) and Coordinated Entry System (CES). Client Informed ConsentEach client must sign this form to consent to, or deny, the collection of his or her personally identifying information; form should be available in other languages as needed. may be made locally by the CoC, working in conjunction with the HMIS Lead, and should also consider possible state or other local requirements. Client-level data: Data about an individual HMIS client. Explore collections of guided learning opportunities on a variety of topics. Search for a specific grantee and view itsawards, contact information, and reports, and more. 2023. 6. Funding. LA-HOP. 'Client Revocation of Consent' form with this agency. }) Decisions regarding permitted types of consent (inferred, written, verbal, etc.) It allows the Agency to use HMIS, assigning rights to user licenses. HMIS Forms & Manuals | CARES of NY, Inc. CCHMIS Manuals, Request Forms, and Resources COVID-19 Administration HMIS Manuals eForms entries Showing 1 to 5 of 5 entries Previous Next CCHMIS Paper Forms Intake Discharge Update Assessment Contact Showing 1 to 10 of 50 entries Previous Next Your consent allows your record to be updated by any participating organization with which you interact without you being required to sign another consent form. Explore featured publications and browse regulations, policy guidance, toolkits, and other resources. An updated version of the HMIS Client Consent Form (both in English and Spanish) has been added to the list of Privacy Forms. 5 0 obj Coordinated Entry System. As many agencies are moving to phone-only interviews and meetings with clients, ICA has received several questions about obtaining verbal consent for a release of information (ROI). Please send all requests for changes to support@bitfocus.com. CES HUD Guidance For more information on CES, please visit the Coordinated Entry Community Sample Toolkit. HMIS. Below are some of the aspects of data sharing: If data are shared with the goals below, it is anticipated that agencies will be able to see how the network of services are working and performing, where improvements are needed, and whether households are becoming stable. wisp@icalliances.org Log into Service Point . Copyright 2020 Institute for Community Alliances. Your feedback will help shape future HMIS training events. A Client Consent to Data Collection and Release of Information (ROI) must be completed for each client who consents to have their personally identifying information (PII) entered into the King County HMIS System. What information is collected and how it is used is described in the HMIS@NCCEH . Approval of data requests and applicable fees will be determined by the BTG BOD. This copy is a sample. Most often, a consent form is used for medical purposes to hold the hospital or surgeon harmless of any wrongdoing due to the risks involved with . Meeting Attendance Policy, FAQ for Service Providers who do not administer the VI-SPDAT, FAQ for Victim Service Providers (VSPs) who administer the VI-SPDAT, FAQ for Providers who administer the VI-SPDAT, Housing Problem Solving HMIS Quick Guide (, HPS Summary Form Participant Check Request (, Housing Problem Solving Minimal Intake Form (. <> WHAT IS HMIS? End User Best Practices Cheat SheetTips and reminders for HMIS users. Click here to see examples of completed ROIs. A current list of Partner Agencies is at % HMIS is a data collection system specifically designed to support planning, management, and decision making in health facilities and organizations. View HUD's HMIS Standard Reporting Terminology Glossary. may be made locally by the CoC, working in conjunction with the HMIS Lead, and should also consider possible state or other local requirements. Find point of contact information for HUD's grantees. 1 MB Download. Every person and agency that is authorized to read or enter information into the HMIS A head of household's consent will apply for every other household member. 7.2020 Forms & Documents for Agency Administrators SCC HMIS Partner Agency Privacy and Data Sharing Agreement Revised 01.12.2023 Technical Administrator and Security Officer Agreement version 10.21.2021 Electronic End User Agreement version 01-29-2020 HMIS New User Authorization - A new process for HMIS new user authorization.