| Visit Date: April 30, 2021 | ID Number: 153113 | ||
| Visit Count: | Children Served: 1 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| 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 |
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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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| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| Taking care of yourself (Whole Person). 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 | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Food insecurity, Financial strain, Family and community support, Covid 19 Related Information |
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| Consultation Duration Start Time: 7:05 PM End Time: 8:10 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
Wellness check. “It’s that right lung, long covid-19 had collapse my lung, I have trouble walking around and every thing. I need to get my lungs stronger. Brain fog…, I’m still fighting for my grandson. Grandson got accepted to fruend of family mentoring that will follow child all the way through high school. I need to get some extra social security . Consultation food certificates. I need that. Plan to give in May 2021. Also research SS for covid-19 resources for people who had covid-19.
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