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Learn more about WIC?
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Pregnant/want to meet with health worker?
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Crisis need help with rent/utilities?
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Homelessness & need shelter?
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Apply to subsidized housing?
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Concern about child school attendance/performance?
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Information on alcohol/drug services?
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Concern about child's behavior?
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Information on disabilities services?
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Feelings of harming self or others?
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Employment, new job, job training?
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Medical services or no insurance?
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Have a child care need?
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Information on transportation?
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Emergency food assistance?
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Information on how to make an appointment for:
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Immunization
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Head lice check
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Pregnancy test
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Infant/toddler car seat
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TB test
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Lead test
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Family planning
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Adult education
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Counseling
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Budgeting Information
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Household organization/cleaning
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Concern for self or family's safety?
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Any domestic violence in your home?
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Thought of or hit your child lately?
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Do you have a safe place to go?
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Other Needs:
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