RAM-NER-75

Code
RAM-NER-75
Mercy ID
V-01081-01
Encounter Date
01/02/2003
Last
Ramirez
First
Nereyda
DOB
08/11/1975
County
Gwinnett
Street
6807 Graves Mill Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 938-0268
Cell
(770) 256-8645
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Orellana
First
Francisco
DOB
05/25/1968
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
YES
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
Edgar Orellana 07/24/1996 Parents GA/USA
Emely Orellana 05/08/2001 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
x7764 Evaluacion