SAN-IRM-78

Code
SAN-IRM-78
Mercy ID
V-00623-01
Encounter Date
08/07/2001
Last
Sanchez
First
Irma
DOB
03/02/1978
County
Cobb
Street
2902 The Valley NE A
City
Atlanta
State
GA
Zip
30093-
Home
(404) 317-5123
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
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