Mh 224a 2026

1. Click ‘Get Form’ to open the mh 224a in the editor.
2. Begin by filling out the CLIENT DATA section. Enter the client's Last Name, First Name, and Middle Name. Ensure you complete the shaded/bolded fields as these are mandatory prior to Triage.
3. Continue with personal identifiers such as SSN, Mother’s Maiden Name, and Gender. Select the appropriate options for Primary Language, Preferred Language, and Ethnicity.
4. In the CLIENT ADDRESS section, indicate if the client is transient/homeless and provide their address details including City, State, Zip Code, and County.
5. Fill out the EMERGENCY CONTACTS section carefully. Include names, addresses, relationships, and phone numbers of emergency contacts.
6. Complete any additional sections relevant to children enrolled in FSP or birth information as necessary.

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