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Visit Date: October 16, 2021 ID Number: 153371
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

Is your home safe for children? : Answered: Yes
Being ready for a natural disaster: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Coping with stressful situations. Answered: Yes
Consultation Duration

Start Time: 1:11 PM
End Time: 1:53 PM
Time Period: 30 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

Required and completed provider intake with focus on natural disaster Readiness and safe home.