BOT-LOR-75

Code
BOT-LOR-75
Mercy ID
V-01221-01
Encounter Date
05/14/2003
Last
Botello
First
Lorena
DOB
08/06/1975
County
Newton
Street
215 Oakfox Middle
City
Covington
State
GA
Zip
30016-
Home
(678) 794-6818
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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. Perez
Data Entry
K. Aleman