BAE-ADR-83

Code
BAE-ADR-83
Mercy ID
V-03006-01
Encounter Date
01/22/2009
Last
Baez
First
Adriana
DOB
07/16/1983
County
Gwinnett
Street
999 no la quiso dar
City
No la dio
State
GA
Zip
99999-
Cell
(770) 733-6679
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
YES

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