{"sno": "new", "year": "2025", "answer": [{"options": {"value": "FATOU DIOUF CISSE", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": "C0033853900", "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1985-03-02", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-12-17T14:15"}, "questionId": "UNW-iz6p"}, {"options": {"value": "9297413879", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Other, SDOH, Behavioral Health", "optionId": ["nuepq", "sdo", "bhd"]}, "questionId": "NU-w165"}, {"options": {"value": "financial, housing, and food disparities, Depression treatment evaluation, unable to afford medications", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "8048745660", "optionId": "uni4v"}, "questionId": "UNS-lowx"}, {"options": {"value": "No", "optionId": "unqdp"}, "questionId": "UNQ-jtcz"}, {"options": {"value": "No", "optionId": "unl6B"}, "questionId": "UNA-que"}, {"options": {"value": "No", "optionId": "unl6D"}, "questionId": "UNB-que"}, {"options": {"value": "Referral:<br>- Currently, the member is staying in a group home.  She has an apartment that she shares the bathroom and kitchen with 2 other women.  They each have their own bedroom.  She was told that she would be given an apartment for only a little while.  <br>- The member does not have a job right now and no means of income.  <br>- She is experiencing food, housing, and financial disparities at this time. This is making it hard for the member to eat and she reports that often she does not eat regular meals.  She needs resources. <br>- The member is not able to afford to get her medications sometimes due to financial disparities. <br>- Member stated that she has been feeling quite drained especially with the anemia.  She reported that she does have a therapist that she speaks with regularly.  Member reported having side effects from use of previous medications for depression.  Some of her side effects that she is having is possibly from her dysmenorrhea and anemia.  She needs further evaluation for homeopathic treatments for her depression or at least treatments for other medical conditions to improve her depression.  ", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "update": false, "clientId": "client_013", "memberId": "C0033853900", "referralId": "nuvu8", "submittedBy": "chembrick", "sentToQADate": "2025-12-17T19:16:59.584Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}