North Carolina's Balance of State Homeless Management Information System
Help Desk
Resources
FORMS AND DOCUMENTS
client
consent
- CHIN Statement of Privacy Practices 080611
- CHIN Client Consent Paragraph and Procedure
- CHIN Client Consent for Release of General Information 080611
- CHIN Client ROI Sensitive Info Release 081707
- CHIN Client ROI Revoke Existing Client Consent 071025
- CHIN Client ROI Sharing Exceptions 091012
- AUTHORIZATION TO DECLINE PARTICIPATION IN HMIS (OPT OUT)
- AUTHORIZATION TO REVOKE EXISTING CLIENT CONSENT
- AUTHORIZATION TO REMOVE CLIENT FILE FROM THE HMIS
- Client Consent Steps Bookmark 071101
- Client File Visibility and Explanation Matrix and FAQ 071025
- Client Information: Principles, Process and Best Practices 060107
spanish
versions
- CHIN Statement of Privacy Practices Spanish 071029
- CHIN General Client Release of Info Spanish 071203
- CHIN Client ROI Sharing Exceptions Spanish 071203
- CHIN Client ROI Revoke Existing Client Consent Spanish 071203
- CHIN Client ROI Opt Out Spanish 071203
- HMIS Participation Posting Spanish 081707
getting
started
- CHIN Pre-Implementation Interview 080130
- HMIS Preparatory Document 090729
- HMIS Intake Form 090904
- HMIS Intake Form with HPRP Fields
- HMIS Intake Form PATH 07102
- HMIS Intake Form HST 2 071026
- HMIS Pre-Implementation Checklist 070817
- HMIS Post-Implementation Checklist 070817
- HMIS Participation Posting 070817
- CHIN Statement of Privacy Practices 080611
general forms
- HMIS Participation Health Indicator Metrics
- HMIS Bed Inventory Change Form
- HIMIS/COC Bed Inventory Verification Form
- CHIN Sample QSOBA (Agency to Agency)
- CHIN QSOBA Non-Participating Agency v.1 (For Reports)
- CHIN QSOBA Participating Agency v.1 (For Reports)
- Current Agency Assessment 080130
- CHIN Continuous Improvement Plan Model
- CHIN Photo Consent 071025