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Visit Date: May 28, 2021 ID Number: 153134
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? Phone or virtual consultation session

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).
Family and community support
Consultation Duration

Start Time: 8:40 AM
End Time: 8:51 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Progress made towards goal?

Notes for this Consultation

Provider stressed about her grandson on Washington state most wanted regarding robbery and kidnapping with a gun. Police are offering a reward. Provider afraid for his life from police.