HMIS Registration Form
HMIS New User Requirements:
- Complete the form below
- View all four (4) training recordings.
Links to the videos can be found on the HMIS login side bar. (https://sac.clarityhs.com/login)
- Complete the following forms and email to HMIS@SacStepsForward.org
New User Account Request Form (https://tinyurl.com/yd48ve6r)
HMIS New User Agreement (https://tinyurl.com/y7cth3el)
- Complete and PASS the HMIS Certification Quiz
Part 1 (https://forms.gle/oEhby6ypUw8bYc6H7)
Part 2 (https://forms.gle/i1ZHyMxLs6gQrjUt5)


HMIS VI-SPDAT Requirements:
- Complete all the steps above for HMIS New User Training
- View the training recording.
Link to the videos can be found on the HMIS login side bar. (https://sac.clarityhs.com/login)
- Complete the following form and email to HMIS@SacStepsForward.org
VI-SPDAT User Agreement (https://tinyurl.com/ydhhkklr)

First Name *
Last Name *
Work Email Address (No personal emails, please.) *
Work Phone Number (No personal numbers, please.) *
Name of Supervisor *
Supervisor's Email Address *
Name Executive Director *
Executive Director's E-mail Address *
Continuum of Care(CoC) *
Primary Agency Name *
If you selected "Other" for Agency, please write in your Agency's name.
(Please note, if your Agency is not in the drop down selection, it may not be in HMIS yet.)
HMIS Access Role Descriptions
Services Only: Limited viewing access in HMIS. Create Services within active program enrollments, notes, and public alerts only.

Direct Service Staff: View/Create/Edit Client records, program enrollments, services, contacts, locations, files, notes, and public alerts. Limited to viewing only of Client Assessments. (CANNOT conduct the VI-SPDAT) Access to Report Library & Data Analysis build.

Advanced Direct Service Staff: View/Create/Edit Client records, program enrollments, services, assessments, contacts, locations, files, notes, and public alerts. Access to Report Library & Data Analysis build.

Assessor Only: View/Create/Edit Client records, assessments, contacts, locations, notes, and public alerts. Limited viewing access of client records. No access to reporting features.

Read Only Rights: Limited viewing access only.

Reporting and Monitoring Only: Viewing access with access to Report Library & Data Analysis build.

Program Manager: In addition to having same access as Advanced Direct Service Staff, access to limited delete rights.

Agency Manager: In addition to having same access as Advanced Direct Service Staff, access to limited delete rights, and ability to build and SAVE Data Analysis reports. (Agencies will be limited on the number of staff that have this access role.)
What access role will you require in HMIS for your Primary Agency? *
Will you require access to other agencies to perform your job duties? *
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