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Diego Fernandez

ActiveLow risk
CL-008012·Client since 2024-06-22
Date of Birth
1971-02-19
Program
Housing
Risk Level
Low risk
Assigned Staff
Dana Reyes
ProviderOne ID
P1-43712266
MedicAid Eligibility
Verified
WLP Status
Verified
Consent Form
Client Signed
Client Since
2024-06-22

Personal Information

First Name
Diego
Last Name
Fernandez
Date of Birth
1971-02-19
Gender
Not specified
Address
1420 4th Ave Apt 5C, Seattle, WA 98101
Service County
Not Set
Service City
Not Set

Contact Information

Primary Phone
(253) 555-0188
Secondary Phone
Not Set
Email
diego.fernandez@example.com

Assigned Staff

Primary Case Manager
Dana Reyes
Secondary / Support
—
Date Assigned
2024-06-22

Risk Level

Current Risk Level
One Risk Level is active at a time. Updates apply immediately to the Dashboard, Client List, and all client summary views.

Emergency & Secondary Contacts

NameRelationshipPhone
Maria FernandezSister(206) 555-0911
Pastor John ReyesCommunity(206) 555-0644

Program Identifiers

ProviderOne ID
No additional identifiers on file.