Visit Date: June 16, 2021 | ID Number: 153158 | ||
Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
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What type of Consultation was it? In-person consultation session | |||
Healthy and Safe Environment Concerns |
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Being ready for a natural disaster: Answered: Yes | |||
Child Development Concerns |
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Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Referral to early intervention for a special needs child. Answered: Yes | |||
Health Related Social Needs Concerns |
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Hand-washing – diapering – toileting. Answered: Yes | |||
Mental/Behavioral Health Services (Child). Answered: Yes | |||
HealthCare Concerns |
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Child Caregiver relationship. Answered: Yes | |||
Caregiver of Child relationship. Answered: Yes | |||
Did you make a Community Resource-Referral. Answered: Yes | |||
Resource-Referral Type(s). Covid 19 Related Information |
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Consultation Duration Start Time: 6:10 PM End Time: 6:30 PM Time Period: 15 mins |
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Goals |
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Progress Made Towards Goal?: | |||
Goal Attained? | |||
Goal attained | |||
Notes for this Consultation
I delivered gift cards and disposable face masks for provider.
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