PER-LII-82

Code
PER-LII-82
Mercy ID
V-02871-01
Encounter Date
08/14/2008
Last
Perez
First
Lidia
DOB
08/03/1982
County
Dekalb
Street
2551 Pilgrim Way Apt. A
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 488-7528
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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
YES
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