| Visit Date: November 17, 2020 | ID Number: 153139 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
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| 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 |
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Child Development Concerns |
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| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
| Referral to early intervention for a special needs child. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
| Nutrition (meal planning – allergies – infant Feeding). Answered: Yes | |||
HealthCare Concerns |
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| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Covid 19 Related Information |
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| Consultation Duration Start Time: 4:30 PM End Time: 4:51 PM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained? | |||
Notes for this Consultation
I Called the provider that there is food Voucher $ 400.00 by Somali youth and family Club at 12910 st.273rd st. Kent Wa 98030 on Wednesday 18,2020 from 2_5
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