HER-CON-98

Code
HER-CON-98
Mercy ID
V-01657-01
Encounter Date
01/01/1998
Last
Garcia
First
Concepcion
DOB
06/06/1943
County
Other
Street
3201 Park Lake
City
Norcross
State
GA
Zip
30090-
Home
(770) 416-1812
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Other
Education Level
Grade school

Spouse Information

Last
Garcia
First
Juan
DOB
N/A
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
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
Juan Garcia 04/04/1980 N/A GA/USA
NOTES
aka Concepcion Garcia; previously she used Hernandez. On 7/19/04 she switched back to Garcia

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