CAM-DAY-05

Code
CAM-DAY-05
Mercy ID
V-02846-12
Encounter Date
07/30/2008
Last
Cambron
First
Dayana
DOB
05/10/2005
County
Dekalb
Street
6750 Peachtree Ind. Blvd. Apt. 502
City
Atlanta
State
GA
Zip
30360-
Cell
(404) 484-7409
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Adelina Vargas 07/17/1974 Mexico
Father Miguel Cambron N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
J. Manzo