GAL-ALE-62

Code
GAL-ALE-62
Mercy ID
V-00818-01
Encounter Date
01/29/2002
Last
Galvan
First
Alejandra
DOB
07/17/1962
County
Fulton
Street
846 Willyham Dr. Apt. 5
City
Hapeville
State
GA
Zip
30354-
Home
(404) 766-0211
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Amero
First
Roberto
DOB
07/26/1956
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
No
Consentimiento De Participar
No

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
Carolina Amaro 04/22/1987 Mother GA/USA
Dulce Azucena Amaro 09/29/1995 Mother GA/USA
Fatima Cecilia Amaro 01/14/1979 Aunt Mexico
Roberto Alejandro Amaro 04/02/1981 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
x7764 Ma. Eugenia