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Visit Date: May 14, 2021 ID Number: 153102
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
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Interpersonal safety
Consultation Duration

Start Time: 9:02 PM
End Time: 9:38 PM
Time Period: 30 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Provider stressed about his grandchild and her mother being protected from the father. Tomorrow the child’s mother is planning not to send the child for her visit with her father because his non professional supervisors have not been supervising his visit. The mother is afraid to send the child to the visit and is afraid the father will send the police. Out of fear she was planning to hide from the police. Consultation: do not hide from the police. Go to your local police station and inform them that on the advise of your lawyer, your plan to keep her safe by not send your child to her father’s tomorrow.