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Visit Date: February 14, 2020 ID Number: 153269
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
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

Health Related Social Needs Concerns

HealthCare Concerns

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Medication Management Adult (Non Clinical). Answered: Yes
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: 1:40 PM
End Time: 2:00 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained?

Notes for this Consultation

I reminded the provider that there section 8 lattery Started on February 12 till February 25,2020.