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Visit Date: May 13, 2020 ID Number: 153198
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
Safe Sleep: Answered: Yes
How to prevent the spread of illness: Answered: Yes
First Aid: Answered: Yes

Child Development Concerns

Childcare Play and Learn and / or outdoor time. Answered: Yes

Health Related Social Needs Concerns

Working with children with special healthcare needs. Answered: Yes
Immunizations and Well Child Schedules. Answered: Yes
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
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, Covid 19 Related Information
Consultation Duration

Start Time: 4:30 PM
End Time: 4:50 PM
Time Period: 15 mins

Goals

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

Notes for this Consultation

I called the provider that there is a food pakage damnation at of Northgate Mall on the 14th of May from 8 am to noon. It was Confidential and only yours Zip code will be registered and I remind them that there is lunch and grocery cards at school for the students.