| Visit Date: June 15, 2021 | ID Number: 153113 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? In-person consultation session | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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| How do I know that the children in my care are learning and developing OK? : Answered: Yes | |||
Health Related Social Needs Concerns |
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HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Family and community support, Mental health, Disabilities |
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| Consultation Duration Start Time: 11:11 AM End Time: 12:20 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Provider Consultation regarding review of the great grandchild’s mother’s BH diagnosis (MHP,CMHS, EMMHS,DMHS) and advised provider and her family member who is a big help to both her and the child, to comply with all request from her lawyer and calm regarding how the family law process can be a big strain on all. provider better.
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