NYSCRI Immediate Needs Assessment (NYINA)

Form Details

• Form Properties
  1. Form Title: NYSCRI Immediate Needs Assessment
  2. Start from an Existing Form - Yes, if there is a previous assessment signed and locked.
  3. Copyrighted Form - No
  4. Billable Progress Note - No
  5. Have multiple versions open at same time - No
  6. Open Blank on new version - No
• Required Fields - Yes
• Lookup Tables - No
• Pre-Fill Logic - Yes
  1. Organization Name and Program Name will pre-fill from Setup > Program/Billing Defaults.
• Fill to Logic - None
• Signatures
  1. Completed By signature
     • Sig type: Any
     • Signature locks the form.
     • Route-To is available.

Immediate Needs Tab

1. Organization Name - Populates from Program/Billing Defaults.
2. Program Name - Populates from Program/Billing Defaults.
3. Date of Initial Contact - Select the date.
4. Complete the Immediate Needs section by selecting to appropriate options and filling in the descriptions when required.

Medical Tab

1. Select the check box if the section does not require immediate assistance. If check box is not selected complete the Need for, for each section.

Shelter Tab

1. Select the check box if the section does not require immediate assistance. If check box is not selected complete the Need for, for each section.
2. Completed By signature
   • Sig type: Any
   • Signature locks the form.
   • Route-To is available.

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