| Visit Date: January 20, 2020 | ID Number: 153161 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| Safe Sleep: Answered: Yes | |||
| First Aid: Answered: Yes | |||
| Car Seat Safety: Answered: Yes | |||
| CPR: Answered: Yes | |||
| Toxic: Answered: Yes | |||
| Being ready for a natural disaster: Answered: Yes | |||
Child Development Concerns |
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| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
| Referral to early intervention for a special needs child. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
| Nutrition (meal planning – allergies – infant Feeding). Answered: Yes | |||
HealthCare Concerns |
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| Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). 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 | |||
| Mental / Behavior Health Services (Non Clinical). Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Housing instability, Utility help needs, Family and community support |
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| Consultation Duration Start Time: 11:30 AM End Time: 11:43 AM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: Yes | |||
| Goal Attained? | |||
Notes for this Consultation
I explained the provider the play and important for children and they can learn new things and good for their development and play with other kids of the same age
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