FIG-ELV-68

Code
FIG-ELV-68
Mercy ID
V-02953-01
Encounter Date
11/26/2008
Last
Figueroa
First
Elvia
DOB
11/06/1968
County
Fulton
Street
3386 Motion Rd. Apt-521
City
Stockbridge
State
GA
Zip
99999-
Home
(404) 627-6448
Cell
(770) 231-8648
Family Status
Two parent family 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
J. Manzo