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Visit Date: November 30, 2022 ID Number: drx206
Visit Count: Children Served: 2 Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? Phone or virtual consultation session

Healthy and Safe Environment Concerns

Is your home safe for children? : Answered: Yes
How to prevent the spread of illness: Answered: Yes
First Aid: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Resource-Referral Type(s).
Housing instability, Food insecurity
Consultation Duration

Start Time: 2:03 PM
End Time:
Time Period: Under 15 minutes

Goals

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

Notes for this Consultation

Spoke with client about groceries they were also interested in culturally appropriate food card