ESC-ROC-81

Code
ESC-ROC-81
Mercy ID
V-00433-01
Encounter Date
03/01/2001
Last
Escamilla
First
Rocio
DOB
08/13/1981
County
Gwinnett
Street
1530 Square Place
City
Norcross
State
GA
Zip
30393-
Home
(770) 934-0320
Cell
(770) 934-0320
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
K. Aleman