GON-PAT-72

Code
GON-PAT-72
Mercy ID
V-01360-01
Encounter Date
09/25/2003
Last
Gonzalez
First
Patricia
DOB
11/13/1972
County
Dekalb
Street
999 no la dio
City
Decatur
State
GA
Zip
30032-
Cell
(678) 683-8070
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
YES
NOTES
No se hizo 00. A.R. solo follow up 2008. No hubo contacto.
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
G. Landeros
Data Entry
K. Aleman