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Visit Date: September 28, 2021 ID Number: 153164
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? Phone or virtual 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

How to prevent the spread of illness: Answered: Yes

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
Mental / Behavior Health Services (Non Clinical). Answered: Yes
Resource-Referral Type(s).
Family and community support, Covid 19 Related Information
Consultation Duration

Start Time: 5:25 PM
End Time: 6:04 PM
Time Period: 30 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Provider long covid-19 continues to effect her judgment as to planning abilities. Her sleep and work still adverse effects. Consultation. Advised provider to not violate the boundaries and plans of close family members by imposing her plans for her convenience and comfort on them. Provider accepted the coaching and changed her plan.