HMIS Forms

BTG has utilized the HMIS to collect homeless services data since 2004. Some of the most essential administrative and data collection forms have been provided below.


Consent Forms

Confidentiality of client information is extremely important. The current consent form is provided along with a list of authorized agencies that have access to view shared information in the HMIS.


Custom Data/Report Request Form

Can be used to request ad hoc analysis or to develop new custom reports or dashboards. Before a request is made, please review the reports page of this website and the set of existing reports that are currently available in the system. KMNH has developed an extensive collection of reports and dashboards that may already meet your needs. All requests are subject to review by KMNH and the BTG BOD to assess complexity, feasibility, and to ensure that BTG’s privacy standards are upheld. Approval of data requests and applicable fees will be determined by the BTG BOD.


HMIS Privacy Policy Documents

The Statewide HMIS Data Committee and HMIS Lead recently approved the use of a new HMIS consent to share form.  Effective Wednesday, July 5, 2017, all Homeless Providers contributing data into HMIS are required to use this new form.


HMIS User Forms

The following forms must be completed and submitted to the HMIS admin team if new users require access to the system or if duplicate clients require merging. Please note that the training request form will need to be submitted along with the new user agreement form.


HUD Data Standards

The HUD Data Standards provide a framework for HMIS data collection. The following documents are available to help navigate HMIS requirements.

The Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) was developed by OrgCode Consulting and is a triage survey administered to homeless individuals and families that helps to determine acuity of need and prioritization of BTG's housing resources and supportive services.


BTG VI-SPDAT v3 Forms

The Service Prioritization Decision Assistance Tool (SPDAT) was developed by OrgCode Consulting as an assessment tool for frontline workers to prioritize which homeless clients should receive assistance first and to determine when clients have sufficiently stabilized so that assistance is no longer needed.


Bridging The Gap (BTG) SPDAT Forms


HMIS HELP DESK HOURS

Monday - Friday 8:00am - 4:30pm

UPCOMING HOLIDAYS

Veterans Day - Tue, Nov 11, 2025
Thanksgiving Day - Thu, Nov 27, 2025
Christmas Day - Thu, Dec 25, 2025