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
)
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* Required
First Name
*
Your answer
Last Name
*
Your answer
Work Email Address (No personal emails, please.)
*
Your answer
Work Phone Number (No personal numbers, please.)
*
Your answer
Name of Supervisor
*
Your answer
Supervisor's Email Address
*
Your answer
Name Executive Director
*
Your answer
Executive Director's E-mail Address
*
Your answer
Continuum of Care(CoC)
*
Choose
Sacramento CA-503
YOLO CA-521
Primary Agency Name
*
Choose
YOLO - City of Davis
YOLO - City of West Sacramento
YOLO - City of Woodland
YOLO - CommuniCare Health Centers
YOLO - Davis Community Meals & Housing
YOLO - Downtown Streets Team
YOLO - Empower Yolo
YOLO - Fourth & Hope
YOLO - Interfaith Rotating Winter Shelter (IRWS)
YOLO - Mercy Coalition of West Sacramento
YOLO - Resources for Independent Living
YOLO - Shores of Hope
YOLO - Short Term Emergency Aid Committee
YOLO - Turning Point Community Programs
YOLO - Yolo Community Care Continuum
YOLO - Yolo County Children's Alliance
YOLO - Yolo County Health & Human Service Agency
211 Sacramento
Asian Pacific Community Counseling
Berkeley Food & Housing Project
Bishop Gallegos Maternity Home
Bridges, Inc.
Capital Star Community Services
City of Sacramento
Community Against Sexual Harm (CASH)
Consumers Self Help Center
Cottage Housing, Inc
Department of Veterans Affairs
Dignity Health Medical Foundation
Downtown Streets Team (Sacramento)
El Hogar Community Service, Inc.
First Step Communities
Francis House Center - A Program of Next Move
Heartland Child and Family Services
Hope Cooperative (aka TLCS, Inc.)
La Familia Counseling Center
LifeSTEPS
Lutheran Social Services (LSS)
Mercy Housing
Nation's Finest (aka Sacramento Veterans Resource Center, SVRC)
Next Move (SAEHC)
People Assisting The Homeless (PATH)
Resources for Independent Living (Sacramento)
River Oak Center for Children
Rose Family Creative Empowerment Center
Sacramento Children's Home
Sacramento County Child Protective Services
Sacramento County Department of Behavioral Health Services (DBHS)
Sacramento County Department of Human Assistance (DHA)
Sacramento County Public Defender
Sacramento Covered
Sacramento LGBT Community Center
Sacramento Self Help Housing (SSHH)
Sacramento Steps Forward
Saint John's Program for Real Change
Salvation Army
SHRA - Shelter Plus Care
Stanford Sierra Youth & Families
Telecare
Turning Point Community Programs
UC Davis CAARE Center
Uplift Family Services
Visions Unlimited
Volunteers of America (VOA)
Waking the Village
WellSpace Health
Wind Youth Services
Women Escaping A Violent Environment (WEAVE)
Women's Empowerment
Other Agency not listed
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.)
Your answer
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 NO Assessments: 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, Shelter Survey, OR ANY Assessment within the Assessment Tab) Access to Report Library & Data Analysis build.
Direct Service Staff WITH Assessments: 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?
*
Services Only
Direct Service Staff NO Assessments
Direct Service Staff WITH Assessments
Assessor Only
Read Only Rights
Reporting and Monitoring Only
Program Manager
Agency Manager
Other Advance User (HMIS Admin will contact you to discuss.)
Will you require access to other agencies to perform your job duties?
*
Yes - Sacramento CoC CA-503
Yes - Yolo CoC CA-521
No
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