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Housing for a Healthy Santa Cruz County
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Unable to Obtain Consent Form
Revocation of Consent to Share Data Form
Standard HUD Continuum of Care Program (CoC)
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Projects for Assistance in Transition from Homelessness Program (PATH)
Veteran Affairs Services (VA)
Housing Opportunities for Persons with AIDS Program (HOPWA)
Organizational Partnership and Data Sharing Agreement
User Agreement and Code of Ethics
Data Misuse and Breach Reporting Form
Agency Corrective Plan
Client Grievance Form
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Veteran Affairs Programs (SSVF, HUD-VASH, GPD) Forms
2024 VA Programs HMIS Forms
- updated 10/1/24
English Forms
Head of Household (HoH) & Adult Forms
HoH & Adult Client Profile (Standard)
Client Contacts (Standard)
VA Adult Program Enrollment
Adult Current Living Situation (Standard)
VA Adult Status/Annual Update
VA Adult Program Exit
Child Forms
Child Client Profile (Standard)
Client Contacts (Standard)
Child Program Enrollment (Standard)
Child Status Update /Annual Assessment (Standard)
Child Program Exit (Standard)
Formularios en Español
Coming soon
Additional Resources
FY24 VA Programs HMIS Manual
FY24 HMIS Data Standards Manual
FY24 HMIS Data Dictionary