ROD-IRI-75

Code
ROD-IRI-75
Mercy ID
V-03520-01
Encounter Date
02/01/2011
Last
Rodriguez
First
Iris
DOB
01/25/1975
County
Dekalb
Street
3397 Cumberland Dr. Apt. D
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 454-2571
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Single Family
Education Level
some high school
Home Owner
YES

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
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
J. Perez
Data Entry
J. Manzo