- Code
- CAM-IRL-79
- Mercy ID
- V-01980-01
- Last
- Campos vazquez
- First
- Irlanda suzuki
- DOB
- 11/06/1979
- County
- Dekalb
- House
- (000) 000-0000
|
CODE
|
DATE
|
SERVICE
|
INTAKE BY
|
CONTACT MODE
|
DATA ENTRY
|
|
CAM-IRL-79 |
08/30/2005 |
Case Mgmt. |
J. Perez |
Face to face |
R. Gonzalez |
|
CAM-IRL-79 |
08/30/2005 |
Education |
J. Perez |
Face to face |
R. Gonzalez |
|
CAM-IRL-79 |
08/30/2005 |
Information |
J. Perez |
Face to face |
R. Gonzalez |
|
CAM-IRL-79 |
08/30/2005 |
Referral |
J. Perez |
Face to face |
R. Gonzalez |
|
CAM-IRL-79 |
08/11/2005 |
Information |
J. Perez |
Telephone |
K. Aleman |
|
CAM-IRL-79 |
08/11/2005 |
Meeting |
J. Perez |
Telephone |
K. Aleman |
|
CAM-IRL-79 |
08/11/2005 |
Referral |
J. Perez |
Telephone |
K. Aleman |
|
CAM-IRL-79 |
08/11/2005 |
Transportation |
J. Perez |
Telephone |
K. Aleman |
