ALV-ROS-63

Code
ALV-ROS-63
Mercy ID
V-02130-01
Encounter Date
01/06/2006
Last
Alvarado
First
Rosa
DOB
08/30/1963
County
Gwinnett
Street
2182 Morning Dew Pl.
City
Lawrenceville
State
GA
Zip
30044-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
R. Gonzalez