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Visit Date: January 19, 2022 ID Number: 153277
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

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Resource-Referral Type(s).
Utility help needs
Consultation Duration

Start Time: 10:30 AM
End Time: 11:20 AM
Time Period: 45 mins

Goals

Progress Made Towards Goal?: No
Goal Attained? No
Progress made towards goal?

Notes for this Consultation

Followed up with provider after providing her with the rapid covid test, the provider said her family have been affected but are recovering now.