GON-JES-96

Code
GON-JES-96
Mercy ID
V-01466-12
Encounter Date
01/14/2004
Last
Gonzalez
First
Jessica
DOB
08/22/1996
County
Gwinnett
Street
6259 Soul Norcross Tucker Rd. Apt. M-1
City
Tucker
State
GA
Zip
30084-
Cell
(404) 227-8390
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Beatriz Hernandez 03/10/1973 Mexico
Father Raul Gonzalez 08/07/1968 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
Medical Alert
NOTES
Soplo en el corazon. No puede correr, ni levantar cosas pesadas.
Lives With
Mother
Name of School
Lilburn Middle S.
Grade
6th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Y. Garcia
Data Entry
K. Aleman