OCA-MAN-64

Code
OCA-MAN-64
Mercy ID
V-01013-01
Encounter Date
08/30/2002
Last
Ocampo
First
Manuela
DOB
06/17/1964
County
Fulton
Street
125 Northwood Dr. Apt. 320
City
Roswell
State
GA
Zip
30342-
Home
(404) 256-4652
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless

Spouse Information

Last
Garcia
First
Heriberto
DOB
05/02/1949
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
Pascual Cortez 09/28/1984 Aunt Chicago
Patricia Garcia 07/21/1997 Parents GA/USA
Victor Manuel Cortez 07/16/1981 Aunt Chicago
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Pilar Castañeda-Centro Catolico del Esp. Santo