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Visit Date: October 1, 2020 ID Number: 153102
Visit Count: Children Served: 5 Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? In-person consultation session

Healthy and Safe Environment Concerns

Child Development Concerns

Health Related Social Needs Concerns

HealthCare Concerns

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

Start Time: 5:31 PM
End Time: 6:02 PM
Time Period: 30 mins

Goals

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

Notes for this Consultation

Delivered masks 😷 and sanitizer to providers home for people who will be attending funeral of provider’s father.