GUT-RUB-82

Code
GUT-RUB-82
Mercy ID
V-00654-02
Encounter Date
08/21/2001
Last
Gutierrez
First
Ruben
DOB
07/14/1982
County
Fulton
Street
53 Cedar Run
City
Atlanta
State
GA
Zip
30350-
Home
(770) 294-0080
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
High school graduate
Home Owner
YES

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
Ivonne Santana no es su pareja, ella es la sobrina pero con ella fue con la que tuvo el problema.
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
F. Perez
Data Entry
K. Aleman