Visit Date: October 9, 2021 | ID Number: 153360 | ||
Visit Count: | Children Served: 2 | Community Health Worker: Seyhun | |
Consultation services Delivered |
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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 |
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Safe Sleep: Answered: Yes | |||
First Aid: Answered: Yes | |||
CPR: Answered: Yes | |||
Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
Coping with stressful situations. Answered: Yes | |||
Consultation Duration Start Time: 3:45 PM End Time: 4:05 PM Time Period: 30 mins |
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Goals |
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Progress Made Towards Goal?: | |||
Goal Attained? | |||
Goal attained | |||
Notes for this Consultation
Required and completed provider intake with focus on safe sleep, first aid, cpr.
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