COR-CON-75

Code
COR-CON-75
Mercy ID
V-02291-01
Encounter Date
07/25/2006
Last
Correa
First
Maria consuelo
DOB
06/02/1975
County
Dekalb
Street
46 Deefield Rd.
City
Covington
State
GA
Zip
30014-
Home
(770) 786-1633
Cell
(706) 819-9539
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Rickees
First
Benjamin
Middle
M.
DOB
02/01/1976
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
YES
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
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
Maria Seleste Rickees 01/17/2006 Parents GA/USA
Shirley Vanessa Correa 08/16/1992 Grandmother Colombia/materna
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
x1375