TOR-JUS-06

Code
TOR-JUS-06
Mercy ID
V-03323-23
Encounter Date
05/12/2010
Last
Torres
First
Justin
DOB
10/19/2006
County
Dekalb
Street
3506Buford Hwy Apt. B-3
City
Atlanta
State
GA
Zip
30329-
Cell
(770) 875-8257
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Clara Palacios 08/12/1977 Mexico
Father Gilario Torres 10/29/1975 Honduras
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
C. Martinez
Data Entry
J. Manzo