Hmis Participating Agency Agreement Sample Contracts

COUNTY OF RIVERSIDE CONTINUUM OF CARE HMIS PARTICIPATING AGENCY AGREEMENT
Hmis Participating Agency Agreement • December 11th, 2017 • California

Information System (“HMIS”) and therefore is entering into this HMIS Participating Agency Agreement (this “Agreement”). The AGENCY and its personnel are permitted to use HMIS and security services on their computer systems through an Internet connection. The HMIS is a database and case management system that collects and maintains information on the characteristics and service needs of clients. The system collects and stores client –level data, which can be used to generate unduplicated and aggregate reports to determine the use and effectiveness of the services being provided to the homeless and at risk populations.

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OC HMIS Participating Agency Agreement
Hmis Participating Agency Agreement • August 24th, 2018

This Agreement authorizes this Participating Agency (Agency) to designate HMIS Users (User). A User is a staff person entrusted to enter Protected Personal Information (PPI) into the OC HMIS, on behalf of this Agency. In order to allow a User to access the OC HMIS, a User Agreement must be signed by the User and stored electronically in the HMIS.

OC HMIS Participating Agency Agreement
Hmis Participating Agency Agreement • July 1st, 2024

This Agreement authorizes this Participating Agency (Agency) to designate HMIS Users (User). A User is a staff person entrusted to enter Protected Personal Information (PPI) into the OC HMIS, on behalf of this Agency. In order to allow a User to access the OC HMIS, a User Agreement must be signed by the User and stored electronically in the HMIS.

San Luis Obispo County HMIS Participating Agency Agreement
Hmis Participating Agency Agreement • August 24th, 2018

This Agreement authorizes this Participating Agency (Agency) to designate HMIS Users (User). A User is a staff person entrusted to enter Protected Personal Information (PPI) into the San Luis Obispo County HMIS, on behalf of this Agency. In order to allow a User to access the San Luis Obispo County HMIS, a User Agreement must be signed by the User and stored electronically by County staff at the Department of Social Services San Luis Obispo County.

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