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Visit Date: January 31, 2020 ID Number: 153174
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

Consultation services Delivered

What type of Consultation was it? Phone or virtual consultation session

Healthy and Safe Environment Concerns

Child Development Concerns

Childcare Play and Learn and / or outdoor time. Answered: Yes

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes
Nutrition (meal planning – allergies – infant Feeding). Answered: Yes

HealthCare Concerns

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Consultation Duration

Start Time: 6:05 PM
End Time: 6:25 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained?

Notes for this Consultation

I called the provider and asked her if she needs any assistance on anything and she said that she needs diapers and wipes.