| Visit Date: October 14, 2021 | ID Number: 153119 | ||
| Visit Count: | Children Served: 1 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
|||
| 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 |
|||
| Safe Sleep: Answered: Yes | |||
Child Development Concerns |
|||
Health Related Social Needs Concerns |
|||
HealthCare Concerns |
|||
| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| Resource-Referral Type(s). Housing instability, Food insecurity, Transportation problems, Utility help needs, Financial strain, Employment |
|||
| Consultation Duration Start Time: 10:30 PM End Time: 10:55 PM Time Period: 15 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Provider stressed about her budget and lack of income. Sent community alert from King County regarding $1500 financial assistance application for FFN caring for children birth -12 years old in King County.
|
|||
|
 |
 |
 |
 |
 |