New SubCook Initial Intake Form - Effective October 1, 2019

 

A new SubCook Initial Intake Form has been released, with an effective date of October 1, 2019. Please use this form moving forward.

Download - SubCook Initial Intake Assessment (October 2019)

The following changes have been made to the Assessment form:

  • Questions have been incorporated to allow clients to better define how they express their gender, as well as their sexual orientation.
  •  The Residence Prior to Project Entry table has been updated to the 2020 HMIS Data Standard responses.
  • The Annual Median Income table has been updated to 2019 AMI values.
  • The SubCook Initial Intake Form has been relabeled to clarify that it should be used for the Head of Household (HoH) and all adults in the household. The HH Member Supplemental form (pages 11-12 of the Intake packet) should be used when collecting information about additional children in the household.