| Visit Date: January 8, 2021 | ID Number: 153141 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
|||
| What type of Consultation was it? In-person consultation session | |||
Healthy and Safe Environment Concerns |
|||
Child Development Concerns |
|||
| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
|||
| Hand-washing – diapering – toileting. Answered: Yes | |||
| Social/Emotional development. Answered: Yes | |||
HealthCare Concerns |
|||
| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| 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 |
|||
| Consultation Duration Start Time: 4:25 PM End Time: 4:50 PM Time Period: 30 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained? | |||
Notes for this Consultation
I am Called to remind them to put masks on in public and to also social distance then I delivered masks and gift card.
|
|||
 |
 |