MOR-CRI-73
- Code
- MOR-CRI-73
- Mercy ID
- V-03463-01
- Encounter Date
- 11/05/2010
- Last
- Morales
- First
- Cristina
- DOB
- 12/05/1973
- County
- Fulton
- Street
- 832 Parkridge Lane Cr. Apt. B
- City
- Roswell
- State
- GA
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
- Lives With
- N/A
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- J. Perez
- Data Entry
- J. Manzo