| Visit Date: November 16, 2022 | ID Number: 153311 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Dahabo M | |
Consultation services Delivered |
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| 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 |
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| How to prevent the spread of illness: Answered: Yes | |||
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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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Food insecurity, Covid 19 Related Information |
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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 | |||
| Progress made towards goal? | |||
Notes for this Consultation
provider requested cultural food gift cards. she said the whole family got sick high fever. the kids brought the virus from the school. but they tested negative. she also said the kids didn’t able to go to school for the last 7 days.
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