CON-HIL-65

Code
CON-HIL-65
Mercy ID
V-01028-01
Encounter Date
11/07/2002
Last
Contreras
First
Hilda
DOB
10/22/1965
County
Gwinnett
Street
1897 Fellowship Apt. B
City
Tucker
State
GA
Zip
30084-
Home
(404) 417-9851
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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