GON-PAT-67

Code
GON-PAT-67
Mercy ID
V-00643-01
Encounter Date
08/10/2001
Last
Gonzalez
First
Patricia
DOB
04/14/1967
County
Gwinnett
Street
3925 Creek Water Ct.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 638-3602
Family Status
Two parent family w/children
COB
Mexico
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
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. Manzo
Data Entry
K. Aleman