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Visit Date: April 1, 2020 ID Number: 153200
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Dahabo M

Consultation services Delivered

What type of Consultation was it? Phone or virtual 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
Consultation Duration

Start Time: 7:04 PM
End Time: 7:06 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Progress made towards goal?

Notes for this Consultation

Provider request diaper and wipes she also said I have only two left.