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Visit Date: January 26, 2020 ID Number: 153134
Visit Count: Children Served: Provider opted out of answer Community Health Worker: SIC Other Staff

Consultation services Delivered

What type of Consultation was it? Phone or virtual 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

Is your home safe for children? : Answered: Yes

Child Development Concerns

How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: Yes

Health Related Social Needs Concerns

HealthCare Concerns

Taking care of yourself (Whole Person). Answered: Yes
Coping with stressful situations. Answered: Yes
Consultation Duration

Start Time: 6:46 PM
End Time: 5:51 PM
Time Period: 15 mins

Goals

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

Notes for this Consultation

Provider phone issue prevented her from accessing our web site to access SDoH information. Consultation. Help work out barriers phone issues. Notified issues resolved.