ARR-PAT-69

Code
ARR-PAT-69
Mercy ID
V-01537-01
Encounter Date
03/24/2004
Last
Arrascue
First
Patricia
DOB
05/03/1969
County
Fulton
Street
608 Gnarattoga Dr.
City
Alpharetta
State
GA
Zip
30022-
Home
(404) 454-6622
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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
No
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. Manzo
Data Entry
K. Aleman