| Visit Date: August 3, 2019 | ID Number: 153134 | ||
| 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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| Medication management: Answered: Yes | |||
| Community resources and referrals: Answered: Yes | |||
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Provider stressed regarding letter from cms Medicare. Inform provider of her Medicare part B payment deduction. Consultation, due to provider cashflow deficit, referral to dshs to request help to pay for both premiums and medication. |
View Intake Form | ||