ROAR Client Update Form
This form tracks services received by clients during the program... THIS IS ONLY FOR TESTING. DO NOT USE WITH LIVE CLIENT INFORMATION.
Client ID
Date of Update
-
Month
-
Day
Year
Date
Date of Closure
-
Month
-
Day
Year
Date
Case Status
Please Select
One-Time Intervention Service
Enrolled, active participant (including returning participants)
Enrolled, no contact during reporting quarter
Exited without completing program requirements (regardless of reason)
Completed program requirements
Completed program requirements, still active
Please describe any other support services
Back
Next
Case Closeout
Housing Status
Independent living/housing
Family/relatives home
Foster care
Permanent Supportive Housing
Transitional Housing
Rapid Rehousing
Residential Treatment Program
Sober Living Home
Homeless
Other
Employment Status
Employed, full time
Employed, part time
Not working due to age, disability, student, volunteer or homemaker
Unemployed
Other
Case Completion
Submit
Should be Empty: