| Visit Date: November 13, 2021 | ID Number: 153378 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Asha | |
Consultation services Delivered |
|||
| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
|||
| Is your home safe for children? : Answered: Yes | |||
| Safe Sleep: 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 | |||
| How my relationship with the children can help them feel secure about themselves. Answered: Yes | |||
Health Related Social Needs Concerns |
|||
| Immunizations and Well Child Schedules. Answered: Yes | |||
| Hand-washing – diapering – toileting. Answered: Yes | |||
| Social/Emotional development. Answered: Yes | |||
HealthCare Concerns |
|||
| Taking care of yourself (Whole Person). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| Resource-Referral Type(s). Utility help needs, Covid 19 Related Information |
|||
| Consultation Duration Start Time: 3:15 PM End Time: 4:15 PM Time Period: 60+mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
Ordered diapers for provider.
|
|||
|
 |