| Visit Date: January 21, 2021 | ID Number: 153371 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Asha | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| Is your home safe for children? : Answered: Yes | |||
| Safe Sleep: Answered: Yes | |||
Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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| Resource-Referral Type(s). Covid 19 Related Information |
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| Consultation Duration Start Time: 10:15 AM End Time: 11:15 AM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: No | |||
| Goal Attained? No | |||
| Progress made towards goal? | |||
Notes for this Consultation
I have done provided face mask to the provider
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