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Visit Date: April 3, 2023 ID Number: 153384
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Asha

Consultation services Delivered

What type of Consultation was it? Collaborative Collateral Contact ( Person who has direct information about FFN) )
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes

Healthy and Safe Environment Concerns

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

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

Coping with stressful situations. Answered: Yes
Resource-Referral Type(s).
Food insecurity, Utility help needs, Covid 19 Related Information
Consultation Duration

Start Time: 11:09 AM
End Time:
Time Period: Under 60 minutes

Goals

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

Notes for this Consultation

I called utility discount program for the provider and informed her about sc programs