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Visit Date: May 12, 2022 ID Number: 153313
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
How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 12:01 PM
End Time: 1:10 PM
Time Period: 60+mins

Goals

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

Notes for this Consultation

I have ordered diapers for the provider and droped at her door step.