| Visit Date: May 18, 2019 | ID Number: 153208 | ||
| 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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| Program health and safety assessment: Answered: Yes | |||
| Communicable disease prevention: Answered: Yes | |||
| Handwashing, diapering, toileting: Answered: Yes | |||
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Provider no longer interested immunization and well child schedule. And Hand washing diapering toileting |
View Intake Form | ||