Minnesota HMIS New Agency Inquiry Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

***Agencies interested in joining Minnesota's HMIS are temporarily unable to do so, owing to the ongoing HMIS software transition from WellSky Community Services to Eccovia ClientTrack. The go-live date for the new HMIS is July 1, 2024, after which agencies will once more be able to join the system. For more information on the software transition, including the reasoning behind the temporary pause in new agency onboarding, visit our the Software Transition page.

The New Agency Inquiry Form remains open for submissions, and agencies interested in HMIS participation are encouraged to fill it out so that ICA can review requests and follow up with questions as needed. Please note that responses to form submissions may be slower than usual as a result of software transition-related work being prioritized.***

This form should be completed by agencies that are interested in participating in Minnesota's HMIS. The information collected here will provide ICA with a baseline understanding of your agency and how you intend to use HMIS. After form submission, ICA staff will either follow up with next steps for getting your agency set up in HMIS or request further information to determine if HMIS is the right system for your data entry and reporting needs.

What is HMIS? Read more here: https://hmismn.helpscoutdocs.com/article/1125-what-is-hmis

We have tailored this inquiry form to collect necessary information to quickly determine whether or not HMIS is the right system for your agency. We also use the form to be upfront about HMIS requirements, costs, and provide helpful information, like URLs that provide some basics of HMIS.

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms