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Visit Date: January 3, 2020 ID Number: 153120
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

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

Child Development Concerns

Health Related Social Needs Concerns

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
Coping with stressful situations. Answered: Yes
Consultation Duration

Start Time: 2:12 PM
End Time: 2:50 PM
Time Period: 45 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained? No

Notes for this Consultation

Provider called to let us know that her uncle died and she will be heading to Portland for the service. She is worried because she is going to have to use some of her money for the family and worried about meeting her basic needs. Gave her information on rent and utilities help.