The hospital emergency is for the residents of the street as the main means of access to the health system, therefore, this study proposes to know the contours involving this service. The problematization of this issue was outlined from the analysis of the relationship developed under institutional and weakening of social ties. This research describe this meeting in three significant moments: admission, hospital stay and medical release. The theoretical foundation of this study sought to locate the residents street in a historical perspective and not circumstantial, to understand the social representation incorporating. The main categories of analysis used for this study are social exclusion and stigma because they are defining concepts and relate to the condition of living on the streets. From interviews with residents of the street hospitalised and health care professionals, the conclusion is that many are the conflicts that permeate the journey made by residents of the street in search of care. The resident of the street set up in other that we do not want to see, smell or feel the touch.