GAF-MAR-65

Code
GAF-MAR-65
Mercy ID
V-03092-01
Encounter Date
06/01/2009
Last
Garfias
First
Maria elena
DOB
02/12/1965
County
Dekalb
Street
1877 skinland Dr.
City
Atlanta
State
GA
Zip
30319-
Family Status
Adult couple-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
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
G. Landeros
Data Entry
J. Manzo