HER-CON-98
- Code
- HER-CON-98
- Mercy ID
- V-01657-01
- Encounter Date
- 01/01/1998
- Last
- Garcia
- First
- Concepcion
- DOB
- 06/06/1943
- County
- Other
- Street
- 3201 Park Lake
- City
- Norcross
- State
- GA
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
- Lives With
- N/A
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
aka Concepcion Garcia; previously she used Hernandez. On 7/19/04 she switched back to Garcia
Media
NO DOY PERMISO
- Intake
- J. Manzo
- Data Entry
- K. Aleman