SIL-ALI-72

Code
SIL-ALI-72
Mercy ID
V-02275-01
Encounter Date
05/05/2006
Last
Silverio
First
Alicia
DOB
06/16/1972
County
Fulton
Street
5801 King Sport Dr.
City
Atlanta
State
GA
Zip
30342-
Home
(404) 943-0442
Cell
(770) 896-1710
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Organista
First
Julian
DOB
01/03/1966
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
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
David Organista 04/23/2009 Parents GA/USA
Irma Iris Organista 09/09/1990 Parents GA/USA
Julian Organista 10/13/2000 Parents GA/USA
Sandra Organista 09/29/1997 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
R. Gonzalez
Referred By
Solange Pilares-PSY