HER-ANA-69

Code
HER-ANA-69
Mercy ID
V-00727-01
Encounter Date
02/27/2002
Last
Hernandez
First
Ana
DOB
03/20/1969
County
Fulton
Street
315 Karen Dr.
City
Alpharetta
State
GA
Zip
30004-
Home
(770) 777-0469
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Hernandez
First
Oscar
DOB
04/21/1970
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Jaydy Hernanez 08/07/2001 Parents GA/USA
Oscar Hernandez 11/07/1993 Parents GA/USA
Wesley Hernandez 08/15/1996 Parents 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