Code
CUE-URI-94
Mercy ID
V-01440-23
Encounter Date
06/14/2004
Last
Cuevas
First
Uriel
DOB
10/30/1994
County
Fulton
Street
390 Irwin St. HA 11
City
Atlanta
State
GA
Zip
30312-
Home
(000) 000-0000
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Other
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Guillen 10/30/1994 Mexico
Father Ubaldo Cuevas 05/16/1970 Mexico
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