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Visit Date: January 15, 2021 ID Number: 153251
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Jenel S

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

Child Development Concerns

Health Related Social Needs Concerns

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).
Food insecurity
Consultation Duration

Start Time: 1:46 PM
End Time: 1:57 PM
Time Period: 15 mins

Goals

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

Notes for this Consultation

Consultation with client on dealing with the stresses of limited food. Continue to support client and contact resources for food assistance.