GAR-HIL-75

Code
GAR-HIL-75
Mercy ID
V-00558-01
Encounter Date
05/25/2001
Last
Garcia
First
Hilda
DOB
09/20/1975
County
Dekalb
Street
2749 Shallowford Rd. #D
City
Chamblee
State
GA
Zip
30004-1
Home
(770) 986-4250
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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. Manzo
Data Entry
K. Aleman