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DF
Diego Fernandez
ApprovedIN-004125 · DOB 1971-02-19
Date Created
2024-06-15
Case Manager
Jordan Lee
Assessor
Unassigned
ProviderOne ID
143712266WA
MedicAid Eligibility
Verified
WLP Status
Verified
Service County
Snohomish
Service City
Marysville
Client Information
First Name
Diego
Last Name
Fernandez
Date of Birth
1971-02-19
Phone Number
Center
Washington State
Program
Housing
Staff Assignment
Case Manager
Jordan Lee
Assessor
Unassigned
Date Assigned
2024-06-15
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
Yes
Enrolled in outpatient substance-use treatment program
No
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.