| Visit Date: April 1, 2021 | ID Number: 153286 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Seyhun | |
Consultation services Delivered |
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| What type of Consultation was it? In-person consultation session | |||
| Consultation with providers/caregivers on administering ASQ * Answered: Yes | |||
| Did you make a Child Development Referral (Not Screening) * Answered: Yes | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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| Taking care of yourself (Whole Person). Answered: Yes | |||
| Resource-Referral Type(s). Housing instability |
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| Consultation Duration Start Time: 9:44 AM End Time: 9:55 AM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Client called me to confirm that she received the mask.
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