ROD-OLG-74

Code
ROD-OLG-74
Mercy ID
V-03172-01
Encounter Date
09/09/2009
Last
Rodriguez
First
Olga
DOB
03/13/1974
County
Fulton
Street
5320 Roswell Road # M-3
City
Sandy springs
State
GA
Zip
30342-
Cell
(404) 838-1415
Family Status
Single parent w/children
COB
Honduras
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
YES
Relative
YES
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
G. Landeros
Data Entry
J. Manzo