| Visit Date: July 24, 2019 | ID Number: 153115 | ||
| 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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| Community resources and referrals: Answered: Yes | |||
Referred consumer requested provider’s ways of receiving payment. Provider shared the different forms of accepted payments and referred consumer paid for the product made by provider. |
View Intake Form | ||