MOR-MAR-78

Code
MOR-MAR-78
Mercy ID
V-02511-01
Encounter Date
06/06/2007
Last
Morales
First
Maria luisa
DOB
06/21/1978
County
Cherokee
Street
200 Dupree Rd.
City
Woodstock
State
GA
Zip
30189-
Cell
(770) 560-4623
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Morales
First
Jorge
DOB
04/23/1975
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
No
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
Brenda Morales 05/07/1998 Parents GA/USA
Cristian Andres Morales 08/19/2003 Parents GA/USA
Daniel Morales 03/02/2001 Parents 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
walk in