NAR-OFE-68

Code
NAR-OFE-68
Mercy ID
V-01490-01
Encounter Date
02/17/2004
Last
Narciso
First
Ofelia
DOB
04/02/1968
County
Fulton
Street
518 King Arnold
City
Atlanta
State
GA
Zip
30354-
Home
(404) 477-0286
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
she signed the "promesa de confidencialidad" and "consentimiento para…" form as Ofelia Mendoza; and she put her son's name as Jose Alfredo Valente.
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