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Visit Date: June 9, 2022 ID Number: 153342
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

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

Consultation Duration

Start Time: 10:35 AM
End Time: 11:00 AM
Time Period: 30 mins

Goals

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

Notes for this Consultation

I give a call to client to letting her know that I am heading to her address to deliver her food certificate. After I get there I replaced her food certificate at the door and give her a call for confirmation and she confirmed me she received it.