PER-ANA-93

Code
PER-ANA-93
Mercy ID
V-02110-11
Encounter Date
01/04/2006
Last
Perez
First
Ana karen
DOB
09/06/1993
County
Dekalb
Street
3207 Henderson Mill Rd. Apt. P-7
City
Atlanta
State
GA
Zip
30341-
Cell
(678) 973-8439
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Ana Maria Perez 03/11/1973 Mexico
Father David Suarez 04/03/1972 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
Medical Alert
NOTES
Perfume. Ella tiene una injeccion para cuando le da la alergia
Lives With
Parents
Name of School
Lakeside
Grade
10th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
YES
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Volunteer
Data Entry
R. Gonzalez