ORG-ROG-71

Code
ORG-ROG-71
Mercy ID
V-01428-02
Encounter Date
05/13/2008
Last
Organista
First
Rogelio
DOB
07/01/1971
County
Fulton
Street
201 Northwood Dr. Apt. D-2
City
Atlanta
State
GA
Zip
30342-
Home
(404) 252-5736
Cell
(770) 905-0831
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Aguilar
First
Lourdes
DOB
01/25/1970
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
YES
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
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
Bryant Organista 01/12/2005 Parents GA/USA
Lesly Organista 01/10/1999 Parents GA/USA
Wendy Organista 03/13/1995 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea