| Visit Date: September 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 | |||
| How to prevent the spread of illness: Answered: Yes | |||
Child Development Concerns |
|||
Health Related Social Needs Concerns |
|||
| Hand-washing – diapering – toileting. Answered: Yes | |||
| Mental/Behavioral Health Services (Child). Answered: Yes | |||
HealthCare Concerns |
|||
| Taking care of yourself (Whole Person). Answered: Yes | |||
| 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: 1:30 PM End Time: 2:07 PM Time Period: 30 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained? | |||
Notes for this Consultation
Provider stressed. Consultation was to focus on what is in front of her covid-19 prevention and mitigation in her home and continue teaching her grandchildren the covid-19 prevention skills that are effective and prepare for her upcoming surgery treatment.
|
|||
|
 |