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Visit Date: February 10, 2022 ID Number: 153316
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
Did you make a Child Development Referral (Not Screening) * Answered: Yes
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes

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).
Housing instability
Consultation Duration

Start Time: 10:18 AM
End Time: 11:30 AM
Time Period: 60+mins

Goals

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

Notes for this Consultation

Called East African community and housing development for the client to assist her with her housing expenses.