DOB: 8/16/1980
Gender: Male
Race: White
Phone: 555-555-5555
Email: [email protected]
Address: 123 Smith S. Austin, TX 87882
Branch: U.S. Army
Deployments:6
Unit: 145
Combat: Yes
Discharge: Honorable
Disability Rating: 80%
Type: Veteran
Status: Pending Legal
Application: Approved
Est. Arrival Date: 1/1/2025
Assigned to: Jeff Black
Chapter: Northwest
Prior Resident: No
Source: Website
Start Date: 11/1/24
Bay: Bravo
Room: 4
Bed: 3
Peer: Jake Smith
Therapist: Dr. Gooden
Phase: 1
Level: 2
| Phase | Mentor | Level | Moved On | Notes |
|---|---|---|---|---|
|
Red |
Jeff Black |
4 |
10/1/24 |
Started Program |
|
Yellow |
Justin Simmons |
5 |
11/31/24 |
Moved to Yellow. Completed all steps. |
| Type | User | Duration | Date | Notes |
|---|---|---|---|---|
|
Case Management |
Jeff Black |
60 min. |
10/1/24 |
Acorn Assessment taken. Working on financial competency workbook. Applied for scholarship (Trade-school) |
|
1-on-1 (Peer) |
Justin Simmons |
45 min. |
11/31/24 |
Making positive forward momentum on goals while being mindful of occasional setbacks. |
| Type | User | Result | Date | Notes | View |
|---|---|---|---|---|---|
|
GAD-7 |
Jeff Black |
High |
10/1/24 |
Showing improvement month-over-month |
|
|
PHQ-9 |
Justin Simmons |
5 |
11/31/24 |
Patient has improved score since last month. |
|
| Thumb | Name | Size | Date |
|---|---|---|---|
 |
dd214-sample-form-lg.jpg
image/jpeg
DD214 Open 115.4 KB October 31, 2024 | 115.4 KB | October 31, 2024 |
 |
idcard16_si_color.png
image/png
Insurance Open 11.99 KB October 31, 2024 | 11.99 KB | October 31, 2024 |
 |
REAL-ID-Compliant-Commercial-Drivers-License.jpg
REAL ID-Compliant Commercial Driver's License.jpg
image/jpeg
REAL ID-Compliant Commercial Driver's License.jpg I.D. Open 444.87 KB October 31, 2024 | 444.87 KB | October 31, 2024 |
 | Simple-File-List.pdf application/pdf Open 2.17 MB October 31, 2024 | 2.17 MB | October 31, 2024 |
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