HER-LOR-74

Code
HER-LOR-74
Mercy ID
V-00618-01
Encounter Date
07/27/2001
Last
Hernandez
First
Lorena
DOB
08/13/1974
County
Cobb
Street
1701 Water Fall Village Dr.
City
Marietta
State
GA
Zip
30067-
Home
(770) 319-6456
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
YES
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