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Visit Date: May 24, 2021 ID Number: 153164
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
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

Healthy Children

Healthy Caregivers

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).
Food insecurity, Transportation problems, Financial strain, Employment, Covid 19 Related Information
Consultation Duration

Start Time: 10:19 AM
End Time: 11:58 AM
Time Period: 45 mins


Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Provider stressed about her budget . Planned meeting results. 0to21 emergency funds transfer covered
Total-$570 + $30= $600
Wellness check covered covid-19 symptoms and SDoH and HRSN updates and other progress.