TRE-PAT-65

Code
TRE-PAT-65
Mercy ID
V-03529-01
Encounter Date
02/15/2011
Last
Treblay
First
Patricia
DOB
03/17/1965
County
Gwinnett
Street
7035 Bavarian Wood Place
City
Buford
State
GA
Zip
30519-
Cell
(678) 887-1552
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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