ALV-CAR-66

Code
ALV-CAR-66
Mercy ID
V-01173-01
Encounter Date
03/26/2003
Last
Alvarez
First
Carmen
DOB
02/15/1966
County
Fulton
Street
4586 Roswell Rd. Apt. X-3
City
Atlanta
State
GA
Zip
30342-
Home
(404) 497-0594
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
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