| Visit Date: May 23, 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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Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Resource-Referral Type(s). Financial strain, Covid 19 Related Information |
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| Consultation Duration Start Time: 10:16 AM End Time: 10:30 AM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
Provider stressed about her budget because she has to keep taking money out of her emergency funds. Request delay in schedule budget meeting today due to feeling very ill. Her health continues to be a problem since her vaccine covid-19 break through infection.
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