GUZ-CRI-07

Code
GUZ-CRI-07
Mercy ID
V-02876-22
Encounter Date
08/20/2008
Last
Guzman
First
Cristobal
DOB
09/26/2007
County
Gwinnett
Street
1479 White Wing Court
City
Norcross
State
GA
Zip
30039-3
Cell
(404) 227-7902
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Lourdes Sanchez 10/24/1970 Mexico
Father Juan R. Guzman 03/30/1974 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
F. Gomez
Data Entry
J. Manzo