ROD-VER-73

Code
ROD-VER-73
Mercy ID
V-01965-01
Encounter Date
07/16/2005
Last
Rodriguez
First
Veronica
DOB
01/30/1973
County
Dekalb
Street
6800 Peachtree Ind. Blv. Apt B8
City
Atlanta
State
GA
Zip
30360-
Cell
(678) 374-9187
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
YES
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