{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Angela M Gannon", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH002563100", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1982-07-19", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-07-11T13:15"}, "questionId": "W-iz6p"}, {"options": {"value": "6038543432", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "SDOH, Behavioral Health", "optionId": ["sdo", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "Psychologist & Psychiatrist consult (medication revamp), Low Cost Dental or Dental Insurance Options, Food Disparities resources, Nutrition & Weight Management information", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "Referral:<br>ADHD - not treated currently - member states that when she was a teenager she was treated with Adderall.  She needs a consult/reevaluation to be restarted on medications<br>Anxiety/Depression/Bipolar Disorder - Member has an elevated PHQ9 of 16.  Discussed with member the importance of taking care of her mental health.  She was supposed to start taking citalopram 10mg, but she has not started it yet.  When it was initially prescribed the member stated that she had a rash present and did not want to take the medication at the same time.  She informed me that the rash is gone.  Advised member to definitely start her medications as well as she needs to speak with a counselor or therapist, which she agrees to.  Member reported that when she was in her teens to her early 20's she was taking Adderall for her ADHD, and Lorazepam and Wellbutrin for her depression/anxiety which she felt were working.  She is not sure why they were discontinued but has not had them since she was in her 20's.  Will send urgent referral for follow up and the need for member to be started on medications as well as counseling/therapy for her mental health management.<br>Dental Insurance: Member needs assistance with finding low-cost dental care. She has history of a broken jaw that has caused her dental health the significantly decrease.  The member is missing some teeth and has jaw pain.  Needs information on low-cost dental insurance or plans.<br>Food Disparities - Member reported that she has been having moments of food disparities over the past year and would like assistance and resources.<br>Member would like more information on nutrition and weight management", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": "NH002563100", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-07-11T17:30:18.513Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}