Back to Standard Intake Queue
EK

Emma Kowalski

Approved
IN-004126 · DOB 1978-10-11
Date Created
2024-01-25
Case Manager
Alicia Brown
Assessor
Nadia Osei
ProviderOne ID
143200455WA
MedicAid Eligibility
Verified
WLP Status
Verified
Service County
Pierce
Service City
Tacoma

Client Information

First Name
Emma
Last Name
Kowalski
Date of Birth
1978-10-11
Phone Number
Center
Washington State
Program
HousingEmployment

Staff Assignment

Case Manager
Alicia Brown
Assessor
Nadia Osei
Date Assigned
2024-01-25

Program Health & Risk Information

Housing

Diagnosis

Not recorded

Health Factors

Not recorded

Risk Factors

Not recorded

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

120

240

—

30

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