| Visit Date: October 9, 2020 | ID Number: 153108 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Suleqo O | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| Is your home safe for children? : Answered: Yes | |||
| Safe Sleep: Answered: Yes | |||
| How to prevent the spread of illness: Answered: Yes | |||
| First Aid: Answered: Yes | |||
| Car Seat Safety: Answered: Yes | |||
| CPR: Answered: Yes | |||
| Toxic: Answered: Yes | |||
| Being ready for a natural disaster: Answered: Yes | |||
Child Development Concerns |
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Health Related Social Needs Concerns |
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HealthCare Concerns |
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| Consultation Duration Start Time: 3:00 PM End Time: 3:15 PM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
I called the provider to let them know I returned to work. If they need any assist they can call me.
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