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Visit Date: July 19, 2021 ID Number: 153253
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

Consultation services Delivered

What type of Consultation was it? Phone or virtual consultation session

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
Car Seat Safety: Answered: Yes
CPR: Answered: Yes
Toxic: Answered: Yes

Child Development Concerns

Childcare Play and Learn and / or outdoor time. Answered: Yes

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 5:25 PM
End Time: 5:45 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

I Checked in my providers to ask them how the Church Holidays went. I reminded them to Contnue wearing masks