Client Consent and release of information forms

  • Clients MUST be given a notification and consent form that explains HMIS and why their personal information is being collected.
  • If client does not sign consent form, enter them into ServicePoint as anonymous.
  • IF data is to be shared with other agencies, clients are also given a release of information form which they must sign or verbally agree to.
  • Links to forms and instructions are in the column on the right.
  • Your agency can modify these forms to fit your particular situation, but you are encouraged to seek legal counsel before doing so. They are designed to meet legal requirements and to provide clear information to the clients.
  • Agencies are responsible for arranging translation services for their clientele. One possible resource is http://www.languageline.com

 

  © 2006 Amherst H. Wilder Foundation | tel: 651.280.2780, 1-800-328-2972 | email: HMIS@wilder.org