NAV-AAR-97

Code
NAV-AAR-97
Mercy ID
V-01920-21
Encounter Date
06/08/2005
Last
Navarro
First
Sabina
DOB
09/24/1997
County
Gwinnett
Street
969 Lakeview Rd.
City
Grayson
State
GA
Zip
30017-
Home
(770) 736-9059
Family Status
Attached youth
Gender
Male Child
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
YES
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
Volunteer
Data Entry
K. Aleman
Referred By
linea-Juana