SDoH Agency Snapshot

Client 305 Snapshot for August 13, 2020
documented by Dahabo M

Client ID: 305 Date: August 13, 2020 Time Started: 10:03 AM
Time Ended: 10:12 AM
Is Provider:
Living Situation: Discussed They have a steady place to live Housing Issues: Discussed None of the above Discussed Food Issues: No Received a food voucher:
Discussed Transportation Issues: No Discussed Utilities Issues: Yes Discussed Safety Issues: No Discussed Financial Issues: No
Discussed Employment Issues: No Discussed Family and Community Support Issues: No Discussed Educational Issues: No Discussed Physical Activity Issues: No
Discussed Substance Abuse Issues: No Discussed Mental Health Issues: No Discussed Disability Issues: No Discussed Covid 19 Related Issues: Yes
RELATED NOTES:

Client called and said we fill out the application the only thing we need is income verification. Also talked about copy of driver’s license and car license plate number. I will visit them to get all the information.

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