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Visit Date: March 28, 2022 ID Number: 153269
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

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
First Aid: Answered: Yes

Child Development Concerns

Childcare Play and Learn and / or outdoor time. Answered: Yes
Referral to early intervention for a special needs child. Answered: Yes

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 2:05 PM
End Time: 2:30 PM
Time Period: 30 mins

Goals

Progress Made Towards Goal?: No
Goal Attained? No
Goal attained

Notes for this Consultation

I Called and gave cards to the client.