| Visit Date: June 27, 2021 | ID Number: 153104 | ||
| Visit Count: | Children Served: 2 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual 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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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 | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Family and community support |
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| Consultation Duration Start Time: 1:42 PM End Time: 2:03 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
Conducting culturally relevant outreach and engagement strategies related to COVID-19 vaccines”. Community alert regarding the need to be careful and safe regarding risk of COVID-19 and expectations about vaccination, and provider assessment of any underlining health issues to decrease risk of serious side effects such as father who got infected after 2nd dose and got sick.
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