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Visit Date: July 23, 2020 ID Number: 153121
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

Child Development Concerns

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

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 5:30 PM
End Time: 5:50 AM
Time Period: 15 mins

Goals

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

Notes for this Consultation

I called the provider that the Coronavirus is getting higher nowadays and told them to keep themselves safe and follow the guidelines of the CDC and directions form Washing state.wash hands frequently, wear face mask in public and keep distance.i delivered face masks and sanitizers I bringing from Church.