SAN-ANT-01

Code
SAN-ANT-01
Mercy ID
V-01510-22
Encounter Date
03/03/2004
Last
Sanchez
First
Anthony
DOB
02/22/2001
County
Fulton
Street
1308 Lowe Lane
City
Roswell
State
GA
Zip
30076-
Home
(404) 579-0288
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria R. Garcia 04/16/1978 Mexico
Father David Sanchez 01/07/1971 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
Y. Garcia
Data Entry
K. Aleman