Visit Date: May 3, 2021 | ID Number: 153102 | ||
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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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 | |||
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Child Caregiver relationship. Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Resource-Referral Type(s). Interpersonal safety |
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Consultation Duration Start Time: 11:15 AM End Time: 11:40 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
Provider stressed about his grandchild needing surgery to remove popcorn kernel from her ear today. Consultation with mother about her thoughts and feelings about the events of last night. “I’m proud of myself “. I can write good, but I was able to control my emotions and express myself. This is growth.
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