ROD-YOL-76

Code
ROD-YOL-76
Mercy ID
V-00692-01
Encounter Date
09/14/2001
Last
Rodriguez
First
Yolanda
DOB
03/01/1976
County
Clayton
Street
1063 Ohara Dr.
City
Jonesboro
State
GA
Zip
30236-
Home
(678) 479-7720
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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