Client:
A-0002196212

Believes they were infected with Covid
Client Stated they tested positive for Covid 19
Type of test was At Home Antigen Test

Clients Insurance is NONE OF THE ABOVE
Client has APPLE HEALTH

CCA Client Data

Snapshot created: 08/31/2023

Services Requested

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

CCA Notes

CCA Goal: | CCA Outcome:

Notes for this contact:

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