CAS-JEN-98

Code
CAS-JEN-98
Mercy ID
V-02913-11
Encounter Date
10/15/2008
Last
Castro
First
Jennifer
DOB
05/31/1998
County
Fulton
Street
7829 Midway Road
City
Alpharetta
State
GA
Zip
30034-
Home
(678) 947-1660
Cell
(770) 560-2048
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maura Garcia 07/13/1976 Mexico
Father Vicente Castro 07/19/1974 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Freehome Elem
Grade
4th.
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