Contact the HMIS Helpdesk
This form is managed by the Minnesota State System Administrator.
Name
Your answer
Agency/Organization
Your answer
Email
Your answer
Phone number (optional)
Your answer
Prefer a return call?
If you checked the above box and prefer a return call, indicate below the best date and time for us to reach you
Your answer
ServicePoint password reset?
Issue Description
Include as much detail as possible. If you have questions about errors on a report, please include the specific report run and report prompts used or schedule the report to your ART Inbox. List any affected client IDs or provider IDs.
Never submit client-identifying information (e.g. client name, SSN, DOB) through this form.
Please type your question here:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms