| Visit Date: June 4, 2020 | ID Number: 153242 | ||
| 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 | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
Healthy and Safe Environment Concerns |
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Child Development Concerns |
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| Early Intervention: Answered: Yes | |||
| How my relationship with the children can help them feel secure about themselves. Answered: Yes | |||
| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Medication Management Children (Non-clinical). Answered: Yes | |||
HealthCare Concerns |
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| 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). Transportation problems, Disabilities |
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| Consultation Duration Start Time: 4:40 PM End Time: 5:00 PM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
I called the provider that how they are doing on this unprecedented and Challenging days l remind them that they have to keep their distance and cover their hands frequently and keep their distance and cover their faces by masks when ever they go in public l dropped off masks and school lunch because they don’t have a car and left it on their home door.
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