The Los Angeles HMIS is a local electronic database that securely records information (data) about clients accessing housing and homeless services within Greater Los Angeles County. Better Angels participates in the HMIS database and shares information with other organizations that use this database. 

What information is shared in the HMIS database? We share both Protected Personal Information (PPI) and general information obtained during your intake and assessment

assessment, which may include but is not limited to: Your name and your contact information. Your birthdate. Your basic demographic information such as gender and race/ethnicity. Your history of homelessness. Your income sources and amounts, including non- cash benefits. Your veteran status. Your disability status. Your household composition. Your emergency contact information. Any history of domestic violence

How do you benefit from providing your information? The information you provide for the HMIS database helps us coordinate the most effective services for you and your household members.  By sharing your information, you may be able to avoid being screened more than once, get faster services, and minimize how many times you tell your ‘story.’ Collecting this

information also gives us a better understanding of homelessness and the effectiveness of services in your local area.

Who can have access to your information? Organizations that participate in the HMIS database can have access to your data. These organizations may include homeless service providers, housing groups, healthcare providers, and other appropriate service providers.

How is your personal information protected? Your information is protected by the federal HMIS Privacy Standards and is secured by passwords and encryption technology. In addition, each Participating Organizations

has signed an agreement to maintain the security and confidentiality of the information. In some instances, when the Participating Organizations is a health care organization, your information may be protected by the privacy standards of the Health Insurance Portability and Accountability Act (HIPAA).

By acknowledging you have read this statement below, you understand and agree that: You have the right to receive services, even if you do not sign this consent form. You have the right to receive a copy of this consent form. Your consent permits any participating organization to add to or update your information in HMIS, without asking you to sign another consent form. This consent is valid for seven (7) years from the date the PPI was created or last changed.

You may revoke your consent at any time, but your revocation must be provided either in writing or by completing the Revocation of Consent form. Each Participating Organization that entered information into HMIS will continue to have access to your PPI, but the information will no longer be available to any other Participating Organization. The Privacy Notice for the LA HMIS contains more detailed information about how your information may be used and disclosed. A copy of this notice is available upon request. No later than five (5) business days of your written request, we will provide you with: A correction of inaccurate or incomplete PPI. A copy of your consent form. A copy of your HMIS records; and A current list of participating organizations that have access to your HMIS data. Aggregate or statistical data that is released from the HMIS database will not disclose any of your PPI. You have the right to file a grievance against any organization whether or not you sign this consent. You are not waiving any rights protected under Federal and/or California law.

By clicking “yes” below you are indicating that you are at  least 18 years old, and that you understand the procedures described above, and that your questions have been answered to your satisfaction. Your information will be securely stored in our system.