COL-ISA-66

Code
COL-ISA-66
Mercy ID
V-00352-01
Encounter Date
11/29/2000
Last
Colon
First
Isabel
DOB
10/03/1966
County
Cobb
Street
4895 post oak tritt rd ne
City
Roswell
State
GA
Zip
30075-
Home
(678) 581-0953
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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
Signed consent form and promesa before the fire
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. Manzo
Data Entry
D. Gomez