Saypro homeless shelter forms and templates list

1. Intake Form
– Purpose:To gather basic information from individuals entering the shelter, including personal details, medical history, and reasons for homelessness.
– Typical Sections:
– Name, Date of Birth, Gender, Contact Information
– Emergency Contacts
– Previous Housing/Current Living Situation
– Medical History (mental health, physical health, medications)
– Special Needs (e.g., disabilities, substance abuse history)
– Employment and Income Status
– Emergency Shelter Needs (e.g., food, clothing, shower)

2. Client Rights and Responsibilities Agreement
– Purpose:To outline the rights of individuals staying at the shelter and the expectations regarding behavior and cooperation.
– Typical Sections:
– Rights to privacy, respect, and safety
– Shelter rules (curfew, conduct, guest policies)
– Responsibilities (personal hygiene, keeping shared spaces clean, participation in activities)
– Consequences for rule violations

3. Release of Information Form
– If you’re looking for forms and templates that are typically used by homeless shelters, it can vary depending on the shelter’s location, policies, and services provided. However, here’s a general list of common forms and templates a shelter might need:

1. Intake Form
– Purpose:To gather basic information from individuals entering the shelter, including personal details, medical history, and reasons for homelessness.
– Typical Sections
– Name, Date of Birth, Gender, Contact Information
– Emergency Contacts
– Previous Housing/Current Living Situation
– Medical History (mental health, physical health, medications)
– Special Needs (e.g., disabilities, substance abuse history)
– Employment and Income Status
– Emergency Shelter Needs (e.g., food, clothing, shower)

2. Client Rights and Responsibilities Agreement
– Purpose:To outline the rights of individuals staying at the shelter and the expectations regarding behavior and cooperation.
– Typical Sections:
– Rights to privacy, respect, and safety
– Shelter rules (curfew, conduct, guest policies)
– Responsibilities (personal hygiene, keeping shared spaces clean, participation in activities)
– Consequences for rule violations

3. Release of Information Form
– Purpose:To allow the shelter to share the client’s information with other service providers, such as healthcare professionals or caseworkers.
– Typical Sections
– Authorization to release specific information (medical, housing history, etc.)
– Duration of consent
– Contact information for other involved agencies

4. Case Management Plan
– Purpose:To create a plan for each individual to help guide them toward self-sufficiency and long-term housing.
– Typical Sections:
– Client’s goals and objectives
– Action steps and timelines
– Supportive services needed (job training, therapy, legal assistance)
– Review dates for progress

5. Emergency Contact and Next of Kin Forms
Purpose:To document emergency contacts in case the client is unable to communicate or is in a crisis situation.
– Typical Sections:
– Name, relationship, phone number, and address of contacts
– Notes on any special concerns (e.g., health conditions, allergies)

6. Shelter Stay Agreement
– Purpose:To formalize the terms and conditions under which a client is allowed to stay at the shelter.
– Typical Sections:
– Shelter duration (dates of stay)
– Rules regarding check-in/check-out times, overnight stays, and personal belongings
– Code of conduct
– Discharge procedures

7. Discharge/Exit Form
– PurposeTo document when a client leaves the shelter, either due to successful transition to permanent housing or another reason.
– Typical Sections:
– Reason for discharge (e.g., housing placement, voluntary departure)
– Future housing plans or referrals to other services
– Any follow-up services required
– Final status report (any outstanding issues or needs)

8. Medical and Mental Health Assessment Form
– Purpose :To assess the physical and mental health needs of individuals entering the shelter.
– Typical Sections:
– Current medical conditions
– Mental health history (diagnoses, medications, therapy needs)
– Substance use history (if applicable)
– Referrals to health or psychiatric services

9. Client Satisfaction Survey
– Purpose:To get feedback from clients on the shelter’s services and to identify areas for improvement.
– Typical Sections:
– Questions on food quality, shelter cleanliness, staff interactions, and overall satisfaction
– Open-ended feedback sections

10. Referral Form
– Purpose:To refer clients to external resources, such as housing programs, healthcare, or employment assistance.
– Typical Sections:
– Client’s needs and the reason for referral
– Details about the referral agency or service
– Follow-up requirements