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Visit Date: February 14, 2020 ID Number: 153135
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

Consultation services Delivered

What type of Consultation was it? In-person consultation session

Healthy and Safe Environment Concerns

Child Development Concerns

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

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: 12:25 PM
End Time: 12:40 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained?

Notes for this Consultation

I reminded the provider that Section 8 lattery Started on February 12 till February 25,2020