Back to Standard Intake Queue
CB
Chloe Bennett
DeclinedIN-004121 · DOB 1999-12-02
Date Created
2026-08-05
Case Manager
Assessor
Nadia Osei
ProviderOne ID
Not provided
MedicAid Eligibility
Pending
WLP Status
Pending
Service County
Snohomish
Service City
Everett
Client Information
First Name
Chloe
Last Name
Bennett
Date of Birth
1999-12-02
Phone Number
Center
Washington State
Program
Housing
Staff Assignment
Case Manager
Assessor
Nadia Osei
Date Assigned
2026-08-05
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
—
—
—
—
Enter the number of days based on the client's current situation.