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CM

Camila Morales

Approved
IN-004117 · DOB 1993-07-03
Date Created
2025-01-05
Case Manager
Sam Park
Assessor
Sam Vega
ProviderOne ID
144502119WA
MedicAid Eligibility
Not Eligible
WLP Status
Verified
Service County
King
Service City
Seattle

Client Information

First Name
Camila
Last Name
Morales
Date of Birth
1993-07-03
Phone Number
Center
Washington State
Program
Housing

Staff Assignment

Case Manager
Sam Park
Assessor
Sam Vega
Date Assigned
2025-01-05

Program Health & Risk Information

Housing

Diagnosis

Not recorded

Health Factors

Not recorded

Risk Factors

Not recorded

Recorded during intake from the client's initial assessment.

Treatment Status

Unknown / Not Reported

Unknown / Not Reported

Defaults to Not Assessed. High or Medium risk clients appear on the Dashboard High & Medium Risk Clients widget.

Current Situation Duration

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Enter the number of days based on the client's current situation.