ARC-PAU-67

Code
ARC-PAU-67
Mercy ID
V-02260-01
Encounter Date
05/31/2006
Last
Arcia
First
Paula
DOB
09/02/1967
County
Cobb
Street
529 Woodsong Way
City
Smyrna
State
GA
Zip
30082-
Cell
(678) 754-7938
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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