ROS-JOS-98

Code
ROS-JOS-98
Mercy ID
V-01015-21
Encounter Date
05/21/2003
Last
Rosales
First
Jose
DOB
01/22/1998
County
Dekalb
Street
6750 Peachtree Industrial Blvd. #101
City
Doraville
State
GA
Zip
30360-
Home
(404) 454-9588
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Irma Monje 03/17/1971 Guatemala
Father Jose Rosales 06/27/1964 Guatemala
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