OCH-IRM-62

Code
OCH-IRM-62
Mercy ID
V-03464-01
Encounter Date
11/02/2010
Last
Ochoa
First
Irma
DOB
01/02/1962
County
Fulton
Street
3064 Larose St.
City
East point
State
GA
Zip
30344-
Cell
(404) 552-5044
Family Status
Single parent w/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
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo