RAM-ZAI-73

Code
RAM-ZAI-73
Mercy ID
V-01118-01
Encounter Date
02/12/2003
Last
Ramirez
First
Zaida
DOB
10/12/1973
County
Cobb
Street
490 Windy Hill Rd Apt # 435
City
Smyrna
State
GA
Zip
30082-
Cell
(678) 608-9589
Family Status
Two parent family w/children
COB
Guatemala
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
YES
Relative
No
Stranger
YES
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
K. Aleman