MAR-ROC-75

Code
MAR-ROC-75
Mercy ID
V-02322-01
Encounter Date
08/25/2006
Last
Martinez
First
Maria del rocio
DOB
06/02/1975
County
Clayton
Street
4848 Parker St
City
Forest park
State
GA
Zip
30297-
Cell
(404) 587-4295
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
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
G. Landeros
Data Entry
J. Manzo