GAR-CRI-84

Code
GAR-CRI-84
Mercy ID
V-01555-01
Encounter Date
04/05/2004
Last
Garcia
First
Cristian
DOB
02/04/1984
County
Dekalb
Street
6684 Peachtree Ind. Blvd. Apt J
City
Doraville
State
GA
Zip
30360-
Home
(770) 263-9766
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
YES
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