CAS-SIL-67

Code
CAS-SIL-67
Mercy ID
V-00684-01
Encounter Date
09/19/2001
Last
Castillo
First
Silvia
DOB
03/18/1967
County
Cobb
Street
3510 Buford Hwy apt. W-7
City
Atlanta
State
GA
Zip
30329-
Home
(678) 488-9405
Cell
(404) 659-0400
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Chavez
First
Jose
DOB
07/25/1959
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Angel Chavez 12/20/1996 Mother GA/USA
Brian Chavez 11/24/1982 Mother GA/USA
Christian Salazar 02/08/1985 Mother GA/USA
Geovany Salazar 06/29/1986 Mother GA/USA
Naila Chavez 10/25/1994 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
walk-in