| Visit Date: July 4, 2021 | ID Number: 153219 | ||
| 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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Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| Consultation Duration Start Time: 10:10 AM End Time: 10:15 AM 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
provider requested diapers and wipes.
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