PAR-ADR-78

Code
PAR-ADR-78
Mercy ID
V-02417-01
Encounter Date
02/20/2007
Last
Parra
First
Adriana
DOB
03/01/1978
County
Cobb
Street
415 Freestown Dr.
City
Smyrna
State
GA
Zip
30265-
Cell
(678) 571-9799
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Gonzalez
First
Adrian
DOB
N/A
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
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
Ana Gonzalez 09/19/2005 Mother GA/USA
Ariamna Gonzalez 09/10/1995 Mother GA/USA
Bryan Gonzalez 07/08/1998 Mother GA/USA
Kevin Gonzalez 03/24/2003 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Linea-Juana