Dhs referral form 2025

Show details

4.4 out of 5

57 votes

The document is a DHS Referral Form designed for healthcare facilities to refer single adult patients to the Department of Homeless Services (DHS) shelter or Safe Haven system. It outlines the criteria for determining medical appropriateness for shelter placement, including absolute and relative exclusion criteria based on health conditions and functional needs. The form requires detailed patient information, housing history, clinical data, and discharge plans to ensure that all efforts are made to find non-shelter housing options before referral. It emphasizes the need for electronic submission and provides guidance on completing the form.

Here's how it works

01. Edit your dhs referral form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Dhs referral form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our feature-rich and user-friendly PDF editor is easy. Adhere to the instructions below to complete Dhs referral form online quickly and easily:

Sign in to your account. Sign up with your email and password or register a free account to test the product before upgrading the subscription.
Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Dhs referral form. Easily add and underline text, insert images, checkmarks, and icons, drop new fillable fields, and rearrange or remove pages from your paperwork.
Get the Dhs referral form accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to promptly handle your paperwork online!

See more dhs referral form versions

We've got more versions of the dhs referral form form. Select the right dhs referral form version from the list and start editing it straight away!

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

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does DHS stand for in the police?

The Department of Homeland Security (DHS) is the largest federal law enforcement agency with approximately 80,000 law enforcement officers that carry out the Departments missions across nine different agencies and offices.

How do I complain about DHS NYC?

Send an email to the Office of the Ombudsman. Send an email to the DSS Press Office. Send an email to the Office of Diversity and Equal Opportunity Affairs. Or you can call the Central Complaint Unit at 718-291-4141.

What does DHS stand for in government?

The Department of Homeland Security (DHS) protects our countrys borders and manages the flow of people and products into and out of the United States. Here are some of the ways they do this. Protecting U.S. Borders.

How do you qualify for shelter in NYC?

You must go to the Prevention Assistance and Temporary Housing (PATH) Office to apply for shelter if you are: A homeless family with children under 21 years of age. A homeless single pregnant women. A homeless family that includes a pregnant woman.

What does NYC DHS do?

Collaborating with other public agencies and nonprofit partners, DHS works to prevent homelessness before it occurs, reduce street homelessness, and assist New Yorkers in transitioning from shelter into permanent housing.

What is a referral form?

A referral form is an online form used to request referrals and provides the personal and contact information of both the referral and the referee. Customize and share online.

What does DHS stand for in New York?

The NYC Department of Homeless Services (DHS) works to prevent homelessness.

What is a DHS authorization form?

A Guide to Social Security Cards and DHS Authorization. The DHS issues endorsements for work authorizations to foreign passport-carrying nationals who obtain US citizenship and to those who temporarily relocate to the US and plan to work while theyre here.

Dhs referral form 2025

Here's how it works