ARR-EMI-85

Code
ARR-EMI-85
Mercy ID
V-02893-02
Encounter Date
09/09/2009
Last
Arredondo
First
Miguel
DOB
05/23/1985
County
Gwinnett
Street
1517 Coleville Cr.
City
Norcross
State
GA
Zip
30093-
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A Mexico
Father N/A N/A Mexico
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
J. Manzo