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Visit Date: April 17, 2020 ID Number: 153255
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

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
How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Child Caregiver relationship. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 10:30 AM
End Time: 11:42 AM
Time Period: 60+mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained?

Notes for this Consultation

Goal was to check in and assess any needs Provider might have. Discussed her and her families current-well being. She does not need food right now, but complained that her daughters are coming over and eating a lot of her food. I gave her information for them on how they can apply for food stamps. She continues to see the children that she cares for, but due to COVID-19 it has become less frequent. She reports that the children are still happy to see her, but it is different now. She uses masks and gloves and social distancing and we discussed frequently washing hands with soap and water for 20 seconds as an effective way to kill the virus.