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Visit Date: November 16, 2021 ID Number: 153372
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
Car Seat Safety: Answered: Yes
Toxic: Answered: Yes
Being ready for a natural disaster: Answered: Yes

Child Development Concerns

Early Intervention: Answered: Yes
How do I help babies brain develop?: 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: 1:15 PM
End Time: 2:15 PM
Time Period: 60+mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Assist provider to call Seattle city light to adjust her water bill