Code
AGU-DIE-73
Mercy ID
V-00151-02
Encounter Date
03/28/2000
Last
Aguilar
First
Diego
DOB
07/20/1973
County
Fulton
Street
532 Clive land Ave Apt 34
City
Atlanta
State
GA
Zip
30315-8022
Home
(404) 305-0768
Family Status
Adult coupie-no children
COB
Cuba
Gender
Male
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Saldaña
First
Mayca
DOB
05/12/1977
Address
N/A
Telephone
N/A
COB
Panamá
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

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