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Visit Date: August 31, 2020 ID Number: 153172
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

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

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

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: 11:00 AM
End Time: 11:30 AM
Time Period: 30 mins

Goals

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

Notes for this Consultation

I delivered to the provider gift Card,masks, sanitizer, diaper and wipes and we talked about Coronavirus and Social Distancing.