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Visit Date: May 13, 2022 ID Number: 153302
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Dahabo M

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

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Resource-Referral Type(s).
Housing instability, Employment
Consultation Duration

Start Time: 7:34 PM
End Time: 7:39 PM
Time Period: 15 mins

Goals

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

Notes for this Consultation

provider called and said she have an appointment with Somali Family Safety Task Force organizations, about rental assistance. she fill out from they asked her how many months she needs rental assistance and how much she afford to pay for her rent. she also said until I got full time job.