TOR-SAR-01

Code
TOR-SAR-01
Mercy ID
V-00415-01
Encounter Date
02/19/2001
Last
Torrez
First
Sara
DOB
06/25/1967
County
Cobb
Street
5860 oakdale rd
City
Mablenton
State
GA
Zip
30126-
Home
(404) 691-3904
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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
J. Perez
Data Entry
S. Aviña