HER-SON-64

Code
HER-SON-64
Mercy ID
V-00670-01
Encounter Date
08/24/2001
Last
Hernandez
First
Sonia
DOB
01/14/1964
County
Forsyth
Street
1006 Triwle Gap Rd. Apt 23
City
Cummings
State
GA
Zip
30040-
Home
(770) 218-8910
Cell
(678) 665-2411
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
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
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