OVA-DIO-54

Code
OVA-DIO-54
Mercy ID
V-02098-02
Encounter Date
11/22/2005
Last
Ovalles
First
Dionicio
DOB
09/11/1954
County
Dekalb
Street
601 Sheppard rd
City
Stone mountain
State
GA
Zip
30083-
Home
(404) 597-1414
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Ovalles
First
Hortencia
DOB
09/22/1960
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
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
Erica Ovalles 06/04/1995 Parents GA/USA
Irma Ovalles N/A Parents GA/USA
Jorge Ovalles N/A Parents GA/USA
Jose Ovalles 04/30/1994 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
R. Gonzalez
Referred By
Fabiola Gomez