MOR-ROS-78

Code
MOR-ROS-78
Mercy ID
V-02734-01
Encounter Date
03/18/2008
Last
Morales
First
Rosa
DOB
06/10/1978
County
Gwinnett
Street
5836 Spring Water
City
Norcross
State
GA
Zip
30093-
Cell
(770) 596-2263
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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
YES
Relative
YES
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