ROS-ADO-01

Code
ROS-ADO-01
Mercy ID
V-01261-22
Encounter Date
07/17/2003
Last
Rosario
First
Adonis
DOB
03/21/2001
County
Dekalb
Street
414 Brian Lake
City
Atlanta
State
GA
Zip
30345-
Home
(404) 634-5945
Family Status
Attached youth
COB
Dominican Rep
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria A. Hidalgo 02/18/1958 Dominican Rep
Father Eusebio L. Rosario N/A Dominican Rep
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
Y. Garcia
Data Entry
K. Aleman