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Visit Date: October 20, 2021 ID Number: 153316
Visit Count: Children Served: 3 Community Health Worker: Asha

Consultation services Delivered

What type of Consultation was it? Phone or virtual consultation session

Healthy and Safe Environment Concerns

Safe Sleep: Answered: Yes
How to prevent the spread of illness: Answered: Yes
Car Seat Safety: 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
How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: Yes
How do I know that the children in my care are learning and developing OK? : Answered: Yes
Developmental Screening?: Answered: Yes
Early Intervention: 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
Caregiver of Child relationship. Answered: Yes
Resource-Referral Type(s).
Utility help needs, Interpersonal safety, Covid 19 Related Information
Consultation Duration

Start Time: 11:30 AM
End Time: 1:25 PM
Time Period: 60+mins

Goals

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

Notes for this Consultation

Provider needed children’s face mask and I Provideded some to her today