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Visit Date: April 16, 2021 ID Number: 153164
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? Collaborative Collateral Contact

Healthy and Safe Environment Concerns

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 7:22 AM
End Time: 7:40 AM
Time Period: 30 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Updated the wellness check RN nurse regarding provider ER treatment and health status last night.