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Visit Date: April 18, 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? Phone or virtual consultation session
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes

Healthy and Safe Environment Concerns

How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 9:44 AM
End Time: 5:55 AM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Provider stressed. Wellness check. Provider report tastes and smells is back. Back pain down from 9 to 4-5. No headache . No chest pain. “I can breath “. Cough is less. “I think it’s the drink that my friend told to make and drink ” consultation it’s likely more than that, provider coming to the end if her infection timeline. However she sounds less sick.