HER-OLG-72

Code
HER-OLG-72
Mercy ID
V-01059-01
Encounter Date
12/11/2002
Last
Hernandez
First
Olga
DOB
04/11/1972
County
Cobb
Street
750 Six Flags Lt 5676
City
Austell
State
GA
Zip
30316-8
Home
(770) 694-7460
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Delgado
First
Antonio
DOB
06/13/1970
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
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
Antony Delgado 12/13/1994 Parents GA/USA
Edwin Delgado 06/03/2001 Parents GA/USA
Yeimi Delgado 02/02/1992 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
Y. Garcia
Referred By
Rebeca 7764