OCH-DIA-78

Code
OCH-DIA-78
Mercy ID
V-00971-01
Encounter Date
07/10/2002
Last
Ochoa
First
Diana
DOB
07/05/1978
County
Henry
Street
117 Ansly Park Dr.
City
Stockbridge
State
GA
Zip
30281-
Home
(678) 300-5966
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Navarrete
First
Alfredo
DOB
07/31/1976
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
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
Diego Navarrete 04/27/2001 Father GA/USA
Jhovana Navarrete 05/31/1999 Father GA/USA
Jhovany Navarrete 05/08/1998 Father 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