Code
PAT-CRI-96
Mercy ID
V-00144-21
Encounter Date
08/23/2000
Last
Patino
First
Cristian
DOB
08/27/1996
County
Fulton
Street
5320 roswell rd
City
Atlanta
State
GA
Zip
30342-
Home
(404) 531-0948
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother teresa espino 10/22/1974 Mexico
Father abel patino 12/02/1976 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
K. Aleman
Data Entry
S. AviƱa