| Visit Date: February 20, 2020 | ID Number: 153266 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Jenel S | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
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 | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Mental health |
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| Consultation Duration Start Time: 10:00 AM End Time: 10:55 AM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained? | |||
Notes for this Consultation
Reached out to Mental Health Professional about retreiveing another copy of the letter of treatment for Provider, MHP sent over letter after some revision of Provider’s name and in more detail of diagnoses per written ROI and was able to send to provider, which was received.
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