| Visit Date: November 5, 2022 | ID Number: 15186 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Nadifo J | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
| Consultation with providers/caregivers on administering ASQ * Answered: Yes | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| Consultation Duration Start Time: End Time: Time Period: Under 15 minutes |
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Goals |
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| Progress Made Towards Goal?: No | |||
| Goal Attained? No | |||
| Goal attained | |||
Notes for this Consultation
I provider daughter come and took masks from me.
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