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Visit Date: September 6, 2021 ID Number: 153119
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? In-person consultation session

Healthy and Safe Environment Concerns

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Resource-Referral Type(s).
Family and community support
Consultation Duration

Start Time: 12:02 PM
End Time: 12:36 PM
Time Period: 30 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Provider stressed about her medical symptoms and she is waiting for doctor’s appointment next week to renew her prescription. PU and delivered to her home requested prescription bottle from her friend house.