Client:
161932

Believes they were infected with Covid
Client Stated they tested positive for Covid 19
Type of test was PCR test done at clinic or Dr’s Office

Clients Insurance is MOLINA
Client has APPLE HEALTH

CCA Client Data

Snapshot created: 02/08/2023

Services Requested

• PPE kit with acetaminophen, masks, thermometer, sanitizer, etc.
• A one-time fresh food grocery delivery order

CCA Notes

CCA Goal: | CCA Outcome:

Notes for this contact:

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