OCH-MAR-66

Code
OCH-MAR-66
Mercy ID
V-01123-01
Encounter Date
02/12/2003
Last
Ochoa
First
Maria
DOB
08/15/1966
County
Gwinnett
Street
1302 Country Down St.
City
Norcross
State
GA
Zip
00000-0000
Home
(770) 931-8349
Cell
(678) 525-4194
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Other
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
No
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. Perez
Data Entry
K. Aleman