| Visit Date: May 15, 2019 | ID Number: 153124 | ||
| Visit Count: | Children Served: select number | CSW ID Numb:[138] | |
Consultation services Delivered |
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| In-person Consultation services Delivered Answered: Yes | |||
Topics Covered |
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| Community resources and referrals: Answered: Yes | |||
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Provider needed the contact info to share with mother on barber that has offered to provide free haircuts for the child. |
View Intake Form | ||