Visit Date: April 27, 2021 | ID Number: 153159 | ||
Visit Count: | Children Served: 5 | 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 |
|||
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Resource-Referral Type(s). Covid 19 Related Information |
|||
Consultation Duration Start Time: 10:43 AM End Time: 11:01 AM Time Period: 15 mins |
|||
Goals |
|||
Progress Made Towards Goal?: | |||
Goal Attained? | |||
Progress made towards goal? | |||
Notes for this Consultation
Provider stressed about one of her families have covid-19. She requested ppe covid-19 to go kit.
|