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Visit Date: February 1, 2022 ID Number: 153270
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Asha

Consultation services Delivered

What type of Consultation was it? Collaborative Collateral Contact
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
How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 2:16 PM
End Time: 3:00 PM
Time Period: 45 mins

Goals

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

Notes for this Consultation

Assist provider to request utility discounts program.