Intake Forms

Modified on Thu, 14 Dec 2023 at 03:16 PM

What form do I use?

The intake form you use is determined by project type and funding requirements. Form type is determined project-by-project, not agency. If you don't know what form you use, just look at the top of one of your client's assessments in either ClientPoint or ShelterPoint. The name may not match exactly but you should find LIGHT, BASIC, PLUS, or YHDP in the title.


 


Intake Forms


Form TypeEntryInterimExit
BasicEntry - English
Entry - Spanish
Interim - English
Interim - Spanish
Exit - English
Exit - Spanish
Coordinated Entry (CE / CWL / FDA)Entry - English
Entry - Spanish


LightEntry - English
Entry - Spanish


PLUS
Entry - English
Entry - Spanish
Interim - English 
Interim - Spanish
Exit - English
Exit - Spanish
PLUS (COC-ESG)Entry 

PLUS (Street Outreach)Entry Interim
Parent Outreach Education
Interim

YHDPEntryInterimExit


Note: RHY, SSVF, VA, YEHP, and PATH forms are not provided by Lane County. Copies of the forms above are available in Word format upon request to the System Administrator. To contact the System Administrator, please email HSDHelpdesk@lanecountyor.gov.


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