CAS-ROC-77

Code
CAS-ROC-77
Mercy ID
V-02703-01
Encounter Date
02/01/2008
Last
Castillo
First
Rocio
DOB
05/24/1977
County
Whitfield
Street
404 Barbara Ave. #25
City
Dalton
State
GA
Zip
30721-
Home
(706) 529-0149
Cell
(706) 313-5539
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
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