GAL-ELV-77

Code
GAL-ELV-77
Mercy ID
V-03340-01
Encounter Date
06/04/2010
Last
Galvan
First
Elvira
DOB
02/10/1977
County
Dekalb
Street
70 lake Rd.
City
Covington
State
GA
Zip
30016-
Cell
(678) 768-3160
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high 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
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
G. Landeros
Data Entry
J. Manzo