| Visit Date: March 13, 2020 | ID Number: 153260 | ||
| 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? 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 |
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| How to prevent the spread of illness: Answered: Yes | |||
Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Resource-Referral Type(s). Food insecurity |
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| Consultation Duration Start Time: 4:50 PM End Time: 5:01 AM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained? | |||
Notes for this Consultation
Gave Providers son the food for Provider’s gkids. Due to COVID-19 we did not do a face to face, but he took the food out of my car when he was picking up Providers gson who spends time with his mom and then the Provider. Provider had surgery earlier in the week and could not get the food herself.
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