Ana Ramirez-Rivera Case Summary

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Ms. Ana Ramirez-Rivera arrived at BHWS on 6/14/2016; Ms. Ramirez-Rivera is Hispanic, born and raised in Dominican Republic and is a Green Card holder. In the meeting, Ms. Ramirez-Rivers was appropriately dressed for the weather, she appeared her stated age, and appears to be in no acute distress. Ms. Ramirez-Rivera denied suicidal or homicidal ideation. Client is fluently in Spanish. She speaks and understands English a little. She emphasized that she prefers to speak in Spanish as it is her native Language.

Client entered the shelter system on 5/21/2016; she has three adult children (son 26, and two girls 28 and other 29). Ms. Ramirez-Rivera reported her son is currently residing with his wife and children in Miami with his mother-law.
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Client reported both of her daughters are on her budget. CM informed the client this is a Single Shelter and she needs to go to HRA and take off her daughters off her budget; and to have HRA re-budget her income. Client reported she does have an active Medicaid, and client need to submit a copy of the Medicaid …show more content…
Client continues to report no prescription was prescribed.

Client is not presently using any substance and reported no past history.

MEDICATIONS:
Prednisolone and Combigan eyes drops.

Client signed all DHS Forms such as: Statement of Client Rights and DHS Code of Conduct, Client Acknowledgement of Responsibility Form, Important Notice for Individuals applying for or receiving shelter, NYC of Homeless Service, Supportive Housing Application, NYC Chickenpox (Varicella) Screening Questions, NYC, NYC Tuberculosis (TB) Screening Questionnaire.

Client signed all CAMBA Forms Such as: Notice to Clients of No Smoking Regulation and Suspension for Infractions, CAMBA Broadway House Women’s Shelter Resident’s Contract, Authorization for Release of Information, Emergency Contact, Personal Belonging Policy, Social Services Orientation Summary

Client provided the following documentation: Birth Certificate, social security card, Divorced paper, Green Card and Church Letter requesting overnight passes.

Client need to provide the following documentation: Proof of income, passport, Medicaid and Medical Insurance

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