BOO-ELV-56

Code
BOO-ELV-56
Mercy ID
V-03039-01
Encounter Date
03/31/2009
Last
Monterrosa
First
Elvia
DOB
07/14/1956
County
Dekalb
Street
3282 Oakwood Village Lane Apt. D
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 694-8827
Family Status
Adult couple-no children
COB
Colombia
Gender
Female
Housing
Single Family
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
YES
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