| Visit Date: May 12, 2021 | ID Number: 153164 | ||
| Visit Count: | Children Served: 1 | 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 |
|||
Child Development Concerns |
|||
Health Related Social Needs Concerns |
|||
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 | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Financial strain, Family and community support, Covid 19 Related Information |
|||
| Consultation Duration Start Time: 2:54 PM End Time: 3:17 PM Time Period: 30 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
Provider stressed. Left ER. Feeling her health needs are still not addressed. consultation seeking a second opinion to address her unmet heakth request is a consideration. She decided to go to another ER. The plan is to remain available until she is satisfied with her access to Healthcare. Provider picked up her younger sister to support her as her mother is asking her.
|
|||
|
 |
 |
 |