Initial Intake Assessment Tool

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Author: Department of Health and Human Services

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The Initial Intake and Assessment Tool is a form that was developed to assist with the identification of individuals in shelters that may need accommodations to remain in a general population shelter and to ensure the proper and safe placement of individuals with medical or functional needs beyond the scope and care offered in general populations shelters. The Initial Intake and Assessment tool was developed by the U.S. Department of Health and Human Services, the American Red Cross, and several disability organizations, including the National Organization on Disability and National Spinal Cord Injury Association, to improve the safety and security of shelter residents. The video Initial Intake & Assessment Tool: Determining the Most Appropriate Shelter Setting provides a detailed explanation of the background and functions of Initial Intake and Assessment Tool, case studies, and definitions of terms

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Submitted Date: Aug 26, 2011 | Modified Date: Sep 30, 2025

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Institution Type: Federal,

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