| Visit Date: April 29, 2020 | ID Number: 153175 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
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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| Is your home safe for children? : Answered: Yes | |||
Child Development Concerns |
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| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
| Referral to early intervention for a special needs child. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
| Medication Management Children (Non-clinical). Answered: Yes | |||
| Social/Emotional development. Answered: Yes | |||
| Mental/Behavioral Health Services (Child). Answered: Yes | |||
HealthCare Concerns |
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| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Financial strain, Covid 19 Related Information |
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| Consultation Duration Start Time: 12:00 PM End Time: 12:30 PM Time Period: 30 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
We talked about indoor activities and I called the provider and asked if they need anything on the challeng and cleaning matterials.
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