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Visit Date: June 29, 2020 ID Number: 153174
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

Child Development Concerns

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

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Resource-Referral Type(s).
Food insecurity, Covid 19 Related Information
Consultation Duration

Start Time: 7:10 PM
End Time: 7:30 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 pandemic EBT for students who have Free or reduced lunch at school and sign up on line and call to DSES plus Six months free high internet connection Students receiving free and reduced lunch.