HER-VIC-74

Code
HER-VIC-74
Mercy ID
V-02706-01
Encounter Date
02/06/2008
Last
Hernandez
First
Victorina
DOB
07/28/1974
County
Fulton
Street
88 Old Holcomb Bridge
City
Roswell
State
GA
Zip
30076-
Home
(770) 710-0605
Cell
(770) 374-4887
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high 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
***INCIDENTE CON EL HIJO JOSE MANUEL CHONA****
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