VEL-PAT-67

Code
VEL-PAT-67
Mercy ID
V-01776-01
Encounter Date
12/06/2004
Last
Velasco
First
Patricia
DOB
10/13/1967
County
Gwinnett
Street
2128 The Falls Parkway
City
Duluth
State
GA
Zip
30096-
Home
(770) 814-7819
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
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