| Visit Date: December 11, 2018 | ID Number: 153154 | ||
| Visit Count: | Children Served: select number | CSW ID Numb:[138] | |
Consultation services Delivered |
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| Phone or virtual consultation sessions Answered: Yes | |||
Topics Covered |
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| Child-caregiver relationships: Answered: Yes | |||
| Community resources and referrals: Answered: Yes | |||
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Gave Provider information about what procedure she needs to follow with her Medical Provider to sign up for Behavioral Health services. She does not need additional services. |
View Intake Form | ||