| Visit Date: June 21, 2021 | ID Number: 153201 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Dahabo M | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
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HealthCare Concerns |
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| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Consultation Duration Start Time: 4:17 PM End Time: 4:19 PM 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
grandma said we are going to out of state to visit my son with my granddaughter and grandsons. she also said I am busy packing and I will call you.
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