Ny hcf form 2025

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The document is a referral form for the Department of Homeless Services (DHS) in New York City, specifically designed for healthcare facilities to refer single adult patients to DHS shelters or Safe Haven facilities. It outlines the criteria for medical appropriateness, necessary information for completion, and procedures for submitting referrals. The form emphasizes the importance of exhausting non-shelter housing options before referral and includes sections on patient demographics, clinical information, functional status, and discharge plans.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (71 Votes)
2018	4.4 Satisfied (57 Votes)

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