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Visit Date: February 7, 2020 ID Number: 153144
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
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

Childcare Play and Learn and / or outdoor time. Answered: Yes
Referral to early intervention for a special needs child. Answered: Yes

Healthy Children

Hand-washing – diapering – toileting. Answered: Yes

Healthy Caregivers

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Housing instability
Consultation Duration

Start Time: 3:00 PM
End Time: 3:20 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained?

Notes for this Consultation

I reminded the provider about the Section 8 lattery next week open in February 12 to 25,2020.