| Visit Date: April 29, 2021 | ID Number: 153159 | ||
| Visit Count: | Children Served: 4 | 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 | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Family and community support, Covid 19 Related Information |
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| Consultation Duration Start Time: 12:43 PM End Time: 1:33 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Prepare and provided one of the provider’s families with ppe to support her when she travel and help her sister when she has her second baby.
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