PER-GEN-80

Code
PER-GEN-80
Mercy ID
V-02488-02
Encounter Date
05/21/2007
Last
Perez
First
Genaro
DOB
09/19/1980
County
Fulton
Street
not given
City
Atlanta
State
GA
Zip
99999-
Cell
(678) 886-0400
Family Status
Single adult
COB
Guatemala
Gender
Male
Housing
Transitional
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
No
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
J. Manzo
Data Entry
J. Manzo