Visit Date: April 28, 2021 | ID Number: 153159 | ||
Visit Count: | Children Served: 5 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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What type of Consultation was it? In-person 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 |
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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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How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Mental / Behavior Health Services (Non Clinical). Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Resource-Referral Type(s). Covid 19 Related Information |
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Consultation Duration Start Time: 10:28 AM End Time: 11:00 AM 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
Delivered ppe kn95 mask to provider’s family with covid19. Observe no covid19 infection mitigation at this provider family’s home. Made referral for wellness check. Talked to wellness check nurse to alerts her to the new family covid19 infection and heads up family has permission to contact her or send word OK to contact them.
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