ESP-DIA-58

Code
ESP-DIA-58
Mercy ID
V-01321-01
Encounter Date
08/21/2003
Last
Espinal
First
Diana
DOB
08/24/1958
County
Dekalb
Street
2872 Marlyn Dr.
City
Chamblee
State
GA
Zip
30341-
Home
(404) 246-9014
Cell
(678) 913-8226
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Santa
First
Ivan
Middle
D.
DOB
11/21/1960
Address
N/A
Telephone
N/A
COB
Colombia
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
YES
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
Allison Santa 12/14/1997 Parents GA/USA
Diana Espinal 10/05/1985 Parents GA/USA
Paul Espinal 12/22/1989 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