GON-ANA-80

Code
GON-ANA-80
Mercy ID
V-02408-01
Encounter Date
02/16/2007
Last
Gonzalez
First
Ana elizabeth
DOB
07/17/1980
County
Dekalb
Street
1113 Brockett Way
City
Clarkston
State
GA
Zip
30021-
Cell
(678) 663-1521
Family Status
Adult coupie-no children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Chuga
First
Juan francisco
DOB
06/16/1982
Address
N/A
Telephone
N/A
COB
Guatemala
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
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

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
Centro de Salud-Dekalb-Fernando