MED-CHR-04

Code
MED-CHR-04
Mercy ID
V-02506-23
Encounter Date
09/05/2007
Last
Medrano
First
Christian
DOB
08/23/2004
County
Cobb
Street
671 Air Road
City
Mableton
State
GA
Zip
30126-
Home
(770) 941-2837
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Home Owner
No

Parents Information

Name DOB COB
Mother Irma Villatoro 05/13/1974 El Salvador
Father Santos Medrano 01/01/1962 El Salvador
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
C. Martinez
Data Entry
Volunteer