COL-ROS-72

Code
COL-ROS-72
Mercy ID
V-02707-01
Encounter Date
02/07/2008
Last
Colon
First
Rosa
DOB
05/25/1972
County
Fulton
Street
2152 Woodberry Ave.
City
Atlanta
State
GA
Zip
30344-
Cell
(404) 516-6290
Family Status
Single parent w/children
COB
Bolivia
Gender
Female
Housing
Single Family
Education Level
Some College
Home Owner
YES

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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo