| Visit Date: April 1, 2022 | ID Number: 153274 | ||
| 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 | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
Healthy and Safe Environment Concerns |
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| Safe Sleep: Answered: Yes | |||
| How to prevent the spread of illness: 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). Food insecurity |
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| Consultation Duration Start Time: 3:05 PM End Time: 3:37 PM Time Period: 45 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
Requestd food voucher for the provider
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