HER-RUB-89

Code
HER-RUB-89
Mercy ID
V-03183-01
Encounter Date
10/12/2009
Last
Hernandez
First
Rubi
DOB
08/21/1989
County
Dekalb
Street
3512 Middlegreen Dr.
City
Doraville
State
GA
Zip
30340-
Cell
(678) 914-3035
Family Status
Adult couple-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
YES
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