| Visit Date: August 28, 2021 | ID Number: 153286 | ||
| 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 |
|||
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 |
|||
| Medication Management Adult (Non Clinical). Answered: Yes | |||
| 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: 3:00 PM End Time: 3:30 PM Time Period: 30 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
I delivered for the providers diapers and wipes.
|
|||