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Visit Date: August 24, 2020 ID Number: 153211
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Dahabo M

Consultation services Delivered

What type of Consultation was it? In-person 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

How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Healthy Children

Hand-washing – diapering – toileting. Answered: Yes

Healthy Caregivers

How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Covid 19 Related Information
Consultation Duration

Start Time: 3:01 PM
End Time: 3:17 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained?

Notes for this Consultation

I delivered face mask and hand sanitizer.we also talked about coronavirus social distancing.
I also explained the disposal face mask and cloth face mask. I Also show them how many clothes mask, disposal mask and hand sanitizer then make them sign the paper.