Minnesota's HMIS - Client Consent and release of information forms

Clients MUST be given a "Data Privacy Notice and Consent" (consent) form that explains the Homeless Management Information System (HMIS) and why their personal information is being collected. It is helpful to walk through the consent with clients to ensure they have read and understand the form.
The "Data Privacy Notice and Consent" (consent) form must be given to EACH adult and unaccompanied youth. Parents/guardians should sign for their children.
If any client does not sign the "Data Privacy Notice and Consent" (consent) form (or one is not signed on their behalf), that client must be entered into ServicePoint as an anonymous client. Please see instructions on entering client anonymously.
IF the client record is to be shared with other agencies, clients must also sign a "Release of Information" (ROI) form. It is helpful to walk through the ROI with clients to ensure they have read and understand the form.
Both "Data Privacy Notice and Consent" (consent) form and the "Release of Information" (ROI) form are designed to meet legal requirements and to provide clear information to the clients, seek legal counsel before modifying them in any way.
Agencies are responsible for arranging translation services for their clientele. One possible resource is http://www.languageline.com

Consent and ROI Instructions (December 2009) Read these instructions before using the “Data Privacy Notice and Consent” (Consent) or the “Release of Information” (ROI).
Data Privacy Notice and Consent (March 2010) This form is required for ALL agencies. By signing this form, a client gives permission to have identifying information entered into HMIS. Never enter identifying information into HMIS without a signed consent form.
Release of Information (ROI) (March 2010) This form is required ONLY for agencies that share data within ServicePoint with other agencies.
Posted Data Privacy Notice (March 2010) This form must be posted in an area accessible to clients during intake.
Spanish translation-Consent and ROI (December 2009)
Interpreter available poster (November 2005)