Back to Standard Intake Queue
ME
Maya Edwards
ApprovedIN-004124 · DOB 1995-09-30
Date Created
2024-08-12
Case Manager
Alicia Brown
Assessor
Nadia Osei
ProviderOne ID
143881402WA
MedicAid Eligibility
Verified
WLP Status
Verified
Service County
King
Service City
Seattle
Client Information
First Name
Maya
Last Name
Edwards
Date of Birth
1995-09-30
Phone Number
Center
Washington State
Program
Employment
Staff Assignment
Case Manager
Alicia Brown
Assessor
Nadia Osei
Date Assigned
2024-08-12
Program Health & Risk Information
Employment
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.