ROS-ROS-77

Code
ROS-ROS-77
Mercy ID
V-00957-01
Encounter Date
06/03/2002
Last
Rosales
First
Rosario
DOB
09/24/1977
County
Gwinnett
Street
2497 Briarcliff Rd. Apt. E
City
Atlanta
State
GA
Zip
30329-
Home
(404) 982-1086
Family Status
Single adult
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