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Visit Date: October 15, 2021 ID Number: 153366
Visit Count: Children Served: 3 Community Health Worker: Asha

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

Is your home safe for children? : Answered: Yes
How to prevent the spread of illness: Answered: Yes
Being ready for a natural disaster: Answered: Yes

Child Development Concerns

How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: Yes

Health Related Social Needs Concerns

Immunizations and Well Child Schedules. Answered: Yes
Hand-washing – diapering – toileting. Answered: Yes
Medication Management Children (Non-clinical). Answered: Yes

HealthCare Concerns

Coping with stressful situations. Answered: Yes
Mental / Behavior Health Services (Non Clinical). Answered: Yes
Resource-Referral Type(s).
Utility help needs
Consultation Duration

Start Time: 10:15 AM
End Time: 12:30 PM
Time Period: 60+mins

Goals

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

Notes for this Consultation

The provider said she needs diapers