SDoH CHW Snapshot

Client Xxx153mom Snapshot for October 1, 2020
documented by SIC Other Staff

Client ID: Xxx153mom Date: October 1, 2020 Time Started: 1:30 PM
Time Ended: 3:17 PM
Is Provider:
Living Situation: Discussed They do not have a steady place to live and they are temporarily staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park Housing Issues: Discussed None of the above Discussed Food Issues: No Received a food voucher:
Discussed Transportation Issues: No Discussed Utilities Issues: No 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:

Per client agreement consultation with sic hud advisor recommended writing letter to client landlord with letter of DV advocate request they comply with wa tenants law and sign and needed proof to kcha sec 8 of lease termination

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