RAM-HIL-75

Code
RAM-HIL-75
Mercy ID
V-01103-01
Encounter Date
03/17/2003
Last
Ramos
First
Hilda
DOB
10/27/1975
County
Dekalb
Street
3652 Pierce Dr. Apt. A-6
City
Chamblee
State
GA
Zip
30341-
Home
(770) 936-8391
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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