URI-CAT-70

Code
URI-CAT-70
Mercy ID
V-01830-01
Encounter Date
02/08/2005
Last
Uriostegui
First
Catalina
DOB
04/30/1970
County
Cobb
Street
2350 Cobb Parkway Apt. 17-H
City
Smyrna
State
GA
Zip
30080-
Home
(770) 984-2673
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
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