DOR-YOS-07

Code
DOR-YOS-07
Mercy ID
V-03448-12
Encounter Date
10/27/2010
Last
Dorantes
First
Yoselin
DOB
01/13/2007
County
Fulton
Street
125 Northwood Dr. Apt. 436
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 399-7978
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother samira Garcia 12/15/1977 Mexico
Father Antonio Dorantes 12/11/1977 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

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