RIO-LES-95

Code
RIO-LES-95
Mercy ID
V-02029-13
Encounter Date
09/28/2005
Last
Rios
First
Leslie
DOB
09/25/1995
County
Gwinnett
Street
5987 Lanier Blvd
City
Norcross
State
GA
Zip
30071-
Cell
(678) 887-5583
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Graciela Iñiguez 09/10/1969 Mexico
Father Jose Luis Rios 08/18/1967 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
Medical Alert
NOTES
Penicilina
Lives With
Parents
Name of School
Summerour Middle school
Grade
8th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
YES
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
F. Gomez
Data Entry
R. Gonzalez