Social Service Referral
SS Case #78550
06/24/2020 08:30
| Presenting Issue : Pregnancy / Suspected Pregnancy - Child Abuse / Suspected Child | |
|---|---|
| STUDENT | ALLEN, Andrew Parker
Grade 9, Rydell High |
| HR TEACHER | Lindsay Acosta, Teacher |
| STUDENT ADDRESS | 123, Sloan Lane, Athens, AL - 35611. |
| PHONE NUMBER | 123-456-7890 |
| SSN | 123456789 |
| DATE OF BIRTH | 12/22/2005 |
| AGE | 15 |
| GENDER | F |
| RACE | W |
| MEDICARE NUMBER | |
| PARENT/GUARDIAN NAME | Will Parker, Sarah Parker |
| PHONE | 123-456-7890 |
| CONCERNS | Other students reported that the student said she was pregnant. Other observations were made to suspect possible abuse. |
| BY | Lindsay Acosta |
Response
06/24/2020 09:06
| BY | Lindsay Acosta , Teacher |
| ACTIONS | Phone Call : 09/20/2019
Mailed Letter : 09/22/2020 |
