| Contact Information | |
|---|---|
| First Name | Melinda |
| Last Name | Harrelson |
| Address | 35 Woodcrest Ave |
| City | Covington |
| State | GA |
| Province | |
| Zip/Postal Code | 30016 |
| Country | United States |
| Work Phone | - |
| Fax | |
| rainz@bellsouth.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Brendan - |
| Date of Injury | 05/13/2005 |
| Type of Injury | Obstetric |