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Visit Date: July 26, 2021 ID Number: 153172
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

Consultation services Delivered

What type of Consultation was it? In-person consultation session
Consultation with providers/caregivers on administering ASQ * Answered: Yes

Healthy and Safe Environment Concerns

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Resource-Referral Type(s).
Housing instability, Food insecurity, Covid 19 Related Information
Consultation Duration

Start Time: 6:15 PM
End Time: 6:30 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Progress made towards goal?

Notes for this Consultation

I delivered gift Certificate and talked about the new delta Covid-19 updates.