| Visit Date: June 15, 2021 | ID Number: 153217 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Dahabo M | |
Consultation services Delivered |
|||
| What type of Consultation was it? In-person consultation session | |||
Healthy and Safe Environment Concerns |
|||
| How to prevent the spread of illness: Answered: Yes | |||
Child Development Concerns |
|||
Health Related Social Needs Concerns |
|||
| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
|||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Food insecurity, Covid 19 Related Information |
|||
| Consultation Duration Start Time: 8:01 PM End Time: 8:20 PM Time Period: 15 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
I delivered $27,50 food gift card and 25 disposable face masks.
|
|||
 |