| Visit Date: April 24, 2021 | ID Number: 153102 | ||
| Visit Count: | Children Served: 2 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| How to prevent the spread of illness: Answered: Yes | |||
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 | |||
| Coping with stressful situations. Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Interpersonal safety, Financial strain, Covid 19 Related Information |
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| Consultation Duration Start Time: 4:57 PM End Time: 5:25 PM Time Period: 30 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Assistance to provider’s grandchildren mother in locating and setting up consultation with abusive litigation lawyer to seek protection from their father who, since she filed for a protection order, has been retaliating against her by using the court system to harass, abuse, control, and continue to have contact with her. Appointment made to complying with covid19 health guidelines.
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