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Visit Date: March 12, 2022 ID Number: 153177
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
How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Resource-Referral Type(s).
Utility help needs, Covid 19 Related Information
Consultation Duration

Start Time: 10:20 AM
End Time: 11:00 AM
Time Period: 45 mins

Goals

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

Notes for this Consultation

Screened the client.