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Visit Date: October 21, 2020 ID Number: 153259
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Dahabo M

Consultation services Delivered

What type of Consultation was it? Collaborative Collateral Contact

Healthy and Safe Environment Concerns

How to prevent the spread of illness: Answered: Yes

Child Development Concerns

Health Related Social Needs Concerns

Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Family and community support, Covid 19 Related Information
Consultation Duration

Start Time: 4:18 PM
End Time: 4:21 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Progress made towards goal?

Notes for this Consultation

I filled out HRSN from for diapers and wipes.