PON-CHR-42

Code
PON-CHR-42
Mercy ID
V-00542-01
Encounter Date
06/26/2001
Last
Pond
First
Christina
DOB
09/08/1942
County
Cherokee
Street
Heritage Place 6901
City
Acworth
State
GA
Zip
30102-
Home
(770) 592-2786
Family Status
Two parent family w/children
COB
Other
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
K. Aleman