| Visit Date: December 19, 2018 | ID Number: 153138 | ||
| Visit Count: | Children Served: select number | CSW ID Numb:[138] | |
Consultation services Delivered |
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| In-person Consultation services Delivered Answered: Yes | |||
| Consultation with providers/caregivers on administering ASQ: Answered: Yes | |||
Topics Covered |
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| Physical activity and outdoor time: Answered: Yes | |||
| Child-caregiver relationships: Answered: Yes | |||
| Mental/behavioral health & social-emotional development: Answered: Yes | |||
| Development screening, early identification, and referrals: Answered: Yes | |||
| Community resources and referrals: Answered: Yes | |||
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Provider completed HealthierHere medicaid survey. Wanted support in how to help her grandchildren not be disrespectful to her and their mother. She has a concern about her youngest grandchild’s behavior and speech. Discussed ASQ and ASQ-SE screening and the referral process. She will talk to mom about a possible referral. Gave her referral information for last minute Christmas resources. |
View Intake Form | ||