HER-TIZ-93

Code
HER-TIZ-93
Mercy ID
V-02215-31
Encounter Date
04/19/2006
Last
Hernandez
First
Tizbhet
DOB
03/19/1993
County
Gwinnett
Street
1100 Omaha Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(404) 849-7749
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Eluteria Vargas 02/20/1967 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Niece. Lives with aunt.
Lives With
Aunt
Name of School
Lilburn Middle
Grade
7th.
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
R. Gonzalez
Data Entry
R. Gonzalez