Code
SAN-ROD-78
Mercy ID
V-00521-02
Encounter Date
10/08/2002
Last
Sanchez
First
Rodolfo
DOB
02/11/1978
County
Dekalb
Street
3207 Buford Hwy. Apt. I
City
Atlanta
State
GA
Zip
30329-
Home
(404) 664-1287
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
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
R. Miranda
Data Entry
K. Aleman