Visit Date: April 8, 2020 | ID Number: 153145 | ||
Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
|||
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 |
|||
Is your home safe for children? : Answered: Yes | |||
Child Development Concerns |
|||
How do I know that the children in my care are learning and developing OK? : Answered: Yes | |||
Health Related Social Needs Concerns |
|||
Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
|||
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). 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). Food insecurity |
|||
Consultation Duration Start Time: 3:00 PM End Time: 3:20 PM Time Period: 15 mins |
|||
Goals |
|||
Progress Made Towards Goal?: | |||
Goal Attained? | |||
Progress made towards goal? | |||
Notes for this Consultation
I called the provider and to follow the instruction give by CDC and asked them if they need help.
|