| Visit Date: January 5, 2020 | ID Number: 153102 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? In-person 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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Child Development Concerns |
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Health Related Social Needs Concerns |
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| Working with children with special healthcare needs. Answered: Yes | |||
| Social/Emotional development. Answered: Yes | |||
| Mental/Behavioral Health Services (Child). Answered: Yes | |||
HealthCare Concerns |
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| Coping with stressful situations. Answered: Yes | |||
| Resource-Referral Type(s). Mental health |
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| Consultation Duration Start Time: 3:15 PM End Time: 5:30 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: Yes | |||
| Goal Attained? No | |||
Notes for this Consultation
Provider grandchildren stressed regarding his and her need for lunch boxes and back pack
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