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Visit Date: April 5, 2022 ID Number: 153368
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
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).
Food insecurity
Consultation Duration

Start Time: 9:40 AM
End Time: 10:15 AM
Time Period: 45 mins

Goals

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

Notes for this Consultation

Provided food voucher to the provider