| Visit Date: May 5, 2020 | ID Number: 153235 | ||
| 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 | |||
Healthy and Safe Environment Concerns |
|||
| Is your home safe for children? : Answered: Yes | |||
Child Development Concerns |
|||
| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
|||
| Nutrition (meal planning – allergies – infant Feeding). Answered: Yes | |||
HealthCare Concerns |
|||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Covid 19 Related Information |
|||
| Consultation Duration Start Time: 4:40 PM End Time: 5:00 AM Time Period: 15 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
I informed the provider to let her know that I put the diapers and wipes at the door we talked about Socialb Distancing and wash hands.
|
|||
|