SER-FER-01

Code
SER-FER-01
Mercy ID
V-00863-21
Encounter Date
03/13/2002
Last
Serrano
First
Fernando
DOB
08/31/2001
County
Cobb
Street
861 Franklin Rd. Apt 196
City
Marietta
State
GA
Zip
30067-
Home
(678) 797-0308
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maribel Hurtado 02/28/1985 Mexico
Father Fernando Serrano 11/18/1982 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
Y. Garcia
Data Entry
K. Aleman