| Visit Date: January 22, 2020 | ID Number: 153171 | ||
| 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? In-person consultation session | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Immunizations and Well Child Schedules. Answered: Yes | |||
| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Housing instability, Physical activity |
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| Consultation Duration Start Time: 12:40 PM End Time: 12:50 PM 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 give the Section 8 lattery flyer to the caregiver who is in needs of housing.
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