Project Access Registration

Project Access is a free service available to all individuals seeking housing support services. It operates along a fixed route Monday - Friday, 52 weeks per year and visits 21 agencies. This program is operated by Healthcare for the Homeless - Houston, and is supported by funding from the City of Houston. As such, all participants are required to register with the following information in order to support grant reporting compliance for HHH.

For questions, please contact Project Access Coordinator, Sharon Agee at sharon.agee@hhh-tx.org.
Do you have a completed form to submit*
This form must be completed with the Case Manager, Social Worker, or other support person from a Community Agency. If you are an individual who wishes to register yourself, please call 713-286-6000 to schedule an appointment with the Caroline Street Clinic.
Upload it Here

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Otherwise, continue to complete and sign the form digitally. Please note, both the client and referring agency must sign for the registration to be valid.
Please verify that you are human*
Participant Email Address
example@example.com
Final Email

Are you completing this form with a representative from a community organization or social services agency? Examples include: The Beacon, SEARCH Homeless Services, Memorial Hermann Social Worker, etc*
You must complete this form with a representative from a community organization or social services agency. If you are a community member experiencing homelessness in need of services, please call the Caroline Street Clinic at 713-286-6000 to schedule an appointment and to request Project Access tickets.

Please select the submit button to send your registration form to Healthcare for the Homeless - Houston.

Visit www.homeless-healthcare.org for more information about our programs and services.
Signature of Participant*
Date*

MonthDayYear
Date
Signature of Agency Representative*
Date*

MonthDayYear
Date
Should be Empty: