ZAR-SIL-63

Code
ZAR-SIL-63
Mercy ID
V-00148-01
Encounter Date
03/24/2000
Last
Zarate
First
Silvia
DOB
10/11/1963
County
Dekalb
Street
3814 Buford HWY Apt. B-1
City
Atlanta
State
GA
Zip
30329-
Home
(404) 634-7917
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
J. Perez
Data Entry
Y. Garcia