GIL-CAS-46

Code
GIL-CAS-46
Mercy ID
V-03052-02
Encounter Date
05/19/2009
Last
Castro
First
Gilberto
DOB
12/30/1946
County
Cobb
Street
2784 Dalonega Drive
City
Austell
State
GA
Zip
30106-
Home
(678) 791-3114
Cell
(678) 600-0574
Family Status
Single adult
COB
Cuba
Gender
Male
Housing
Other
Education Level
Vocational/Technical
Home Owner
YES

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
No
Relative
No
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
J. Manzo
Data Entry
J. Manzo