REY-MAR-99

Code
REY-MAR-99
Mercy ID
V-02401-01
Encounter Date
01/30/2007
Last
Reyes
First
Maria elena
DOB
01/01/2022
County
Not given
Street
not given
City
No se
State
GA
Zip
99999-9999
Home
(999) 999-9999
Family Status
Single parent w/children
COB
Mexico
Gender
Female
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
****NO SE PUDO CONTACTAR A LA Sra. Y SE LE HIZO ENTREVISTA AL SR.****
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
J. Manzo