RUI-CRI-45

Code
RUI-CRI-45
Mercy ID
V-03097-01
Encounter Date
06/18/2009
Last
Ruiz
First
Cristina
DOB
03/11/1945
County
Dekalb
Street
4212 Admiral Lane
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 754-1986
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
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
G. Landeros
Data Entry
J. Manzo