GAR-ERK-80

Code
GAR-ERK-80
Mercy ID
V-03530-01
Encounter Date
02/22/2011
Last
Garcia
First
Erika
DOB
10/27/1980
County
Gwinnett
Street
1346 Southern Woods Dr. Apt. B
City
Tucker
State
GA
Zip
30084-
Cell
(770) 875-6982
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
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