| Visit Date: July 16, 2021 | ID Number: 153302 | ||
| 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? 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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Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Covid 19 Related Information |
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| Consultation Duration Start Time: 5:45 PM End Time: 6:38 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
I delivered $27.50 food gift card and 25 disposable face masks .
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