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Visit Date: July 8, 2021 ID Number: 153315
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Asha

Consultation services Delivered

What type of Consultation was it? Collaborative Collateral Contact
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes

Healthy and Safe Environment Concerns

Is your home safe for children? : Answered: Yes
Safe Sleep: Answered: Yes
How to prevent the spread of illness: Answered: Yes
First Aid: Answered: Yes
Car Seat Safety: Answered: Yes
CPR: Answered: Yes
Being ready for a natural disaster: Answered: Yes

Child Development Concerns

How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: Yes
How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: Yes
How do I know that the children in my care are learning and developing OK? : Answered: Yes
Developmental Screening?: Answered: Yes
Early Intervention: Answered: Yes
How do I help babies brain develop?: Answered: Yes
How to help the children in your care get ready for school. Answered: Yes
How my relationship with the children can help them feel secure about themselves. Answered: Yes
Childcare Play and Learn and / or outdoor time. Answered: Yes

Health Related Social Needs Concerns

Immunizations and Well Child Schedules. Answered: Yes
Hand-washing – diapering – toileting. Answered: Yes
Nutrition (meal planning – allergies – infant Feeding). Answered: Yes
Social/Emotional development. Answered: Yes
Mental/Behavioral Health Services (Child). Answered: Yes

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Mental / Behavior Health Services (Non Clinical). Answered: Yes
Medication Management Adult (Non Clinical). Answered: Yes
Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Resource-Referral Type(s).
Utility help needs, Covid 19 Related Information
Consultation Duration

Start Time: 9:00 AM
End Time: 11:00 AM
Time Period: 60+mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Assist client to arrange medical appointments