MOR-VER-82

Code
MOR-VER-82
Mercy ID
V-03333-01
Encounter Date
05/27/2010
Last
Morales
First
Veronica
DOB
12/03/1982
County
Gwinnett
Street
4295 Placent Lake # B
City
Norcross
State
GA
Zip
30044-
Cell
(678) 755-9972
Family Status
Single parent w/children
COB
Guatemala
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
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