Contra Costa Standardized HMIS Intake Form - Contra Costa Health ... - cchealth 2025

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The document is a standardized intake form for the Contra Costa County Homeless Management Information System, designed to collect personal and demographic information from individuals seeking various services related to homelessness. It includes sections for basic identification details, service requests, living situation history, income sources, and any disabilities or special needs. The form aims to gather comprehensive data to assess eligibility for assistance programs and track the needs of homeless individuals in the community.

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How do I schedule an appointment with Contra Costa health?

Call 800-495-8885 800-495-8885 is the central number for making appointments at our county health centers. For same-day or next-day appointments, its best to call as early as possible.

How do I contact Contra Costa County Connection?

Customer Service can be reached at (925) 676-7500.

How do I contact Contra Costa County?

Contact Us 925-957-2200. TTY: 711. 925-646-2566 (Fax) To send the DAs Office an email, please email DAOffice@contracostada.org Note: Do not use this email address for Discovery Requests. All Discovery Requests should be faxed to the appropriate Unit. Office locations and maps click here.