| Visit Date: May 15, 2021 | ID Number: 153164 | ||
| Visit Count: | Children Served: Provider opted out of answer | 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 | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Employment, Physical activity, Mental health, Covid 19 Related Information |
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| Consultation Duration Start Time: 3:39 PM End Time: 4:00 PM 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 her enduring icovid-19 infection after “you are no longer contagious “. She attended the enduring covid-19 support group. The group covered the topics selected in this consultation note. She said she will be attending again each month.
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