VT HMIS Release of Information

Vermont HMIS Client Informed Consent and Release of Information

The Release of Information (ROI) is permission to share confidential information to secure necessary services. 

Benefits to Data Sharing for the Consumer:

• Eliminated duplicate intakes.
• Reduces the amount of time spent answering basic questions regarding your situation.
• Reduces the amount of times you have to tell your story to service providers.
• Faster access to the Coordinated Entry System resulting in receiving services more quickly.
• Allows agencies to focus on meeting your unique service needs.
• Multiple services can be easily coordinated and streamlined.

Type of Information to be shared:

• Personal Identifying Information: Name (First, Middle and Last), Social Security Number, Date of Birth, Gender, Race, Ethnicity, Last Residence Information, Military Status
• Program Specific: Program Enrollments, Assessments, Income*, Non-cash Benefits*, Disability*+, Domestic Violence*, Health Insurance*, Services, Case Notes, Referrals, File Attachments
• All other data that is pertinent for program reporting, eligible and referral purposes 

*Self-report for HMIS purposes.

+ Includes if you say Yes or No to Substance Use, Mental Health and/or HIV/AIDS. Diagnosis is not collected. All self-reported for HMIS purposes. 

VT Statewide HMIS Release of Information

• VT HMIS Client Informed Consent and Release of Information (Printable Version)
• VT HMIS ROI (Short Training Tutorial)
  • If you need the password, please reach out to your System Administrators
• VT HMIS ROI Written Guidance (PDF)

If you have questions or concerns, please reach out to your System Administrators at vthmis@icalliances.org

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