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Visit Date: March 2, 2021 ID Number: 153190
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Dahabo M

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

How to prevent the spread of illness: Answered: Yes

Child Development Concerns

How to help the children in your care get ready for school. Answered: Yes
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
Coping with stressful situations. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Interpersonal safety, Family and community support, Physical activity, Covid 19 Related Information
Consultation Duration

Start Time: 3:30 PM
End Time: 3:39 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?:
Goal Attained?
Goal attained

Notes for this Consultation

CHW SHARE FLAYERS. At high point presidents wanted to share this opportunity to learn more about COVID-19 vaccines, happening today at 5:30 – 6:30p.m. Tuesday March 2nd 2021.there will be a questions and answer. Also
UW medicine community conversation straight talk about covid-19 vaccine, and zoom link.