This page applies to all users of the Nevada Statewide HMIS and contains sample forms for most applicable project types. Feel free to utilize the samples provided or to create your own.

Clarity Nevada Sample Client Intake Forms

Enrollment – Program Entry Sample Forms

Continuum of Care (CoC) Programs (SHP, S+C, SRO) Entry Form

VA Program Entry Form (HUD VASH, SSVF, GPD)

PATH (Project to Assist in the Transition from Homelessness) Entry Form

RHY (Runaway and Homeless Youth) Programs Entry Form

HOPWA (Housing Opportunities for Persons with AIDS) Program Entry Form

Status or Annual Update Assessment Sample Forms

CoC Program Update Form

VA Program Update Form

PATH Program Update Form

RHY Program Update Form

HOPWA Program Update Form

Program End/Exit Sample Forms

CoC Program Exit Form

VA Program Exit Form

PATH Program Exit Form

RHY Program Exit Form

HOPWA Program Exit Form

General Clarity Human Service HMIS Intake Forms for All Projects (Not NV Specific)

  • General HMIS Sample Forms for All Projects
    HMIS sample forms specific to each program. Each form can be downloaded and easily modified to meet custom requirements. These forms do NOT contain custom Nevada data elements.