Intake Forms

Home   Intake Forms

Are You Or Somebody You Know Homeless?

If you are homeless call 954-924-3571 and you will be connected to a case worker who will give you an access code to get a bed.

Once we give you an access code, catch a bus to 1203 N. Federal Highway in Hollywood.

Most bus drivers will let you on for free if you tell them you are homeless and you are going to our shelter.

Important Intake Forms

Homeless Voice provides you with with the latest intake forms required for individual processing needs.
 

Requirements

You are required to download either form, fill out the required information and fax it back to us at (954) 926-2022. You may also mail the intake forms to us at the address listed on our contact page. You may download the Hospital Intake Form or Department of Corrections Intake Form below.
 

Download