| Visit Date: February 3, 2020 | ID Number: 153137 | ||
| 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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HealthCare Concerns |
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| 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 | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Housing instability, Financial strain |
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| Consultation Duration Start Time: 2:10 PM End Time: 3:15 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: Yes | |||
| Goal Attained? | |||
Notes for this Consultation
Provider stressed about her cashflow deficit and her homelessness. Consultation, got approval to pay for 3 background checks and $200 application deposit. Also breakthrough regarding her baby’s father conflict. Also educated her about earn income tax credit and the need to follow irs guidance about claiming dependents. She agreed to comply with federal law and claim her own children on her tax return.
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