MED-MAI-62

Code
MED-MAI-62
Mercy ID
V-02773-01
Encounter Date
05/05/2008
Last
Medina
First
Maria ester
DOB
07/01/1962
County
Fulton
Street
5320 Roswell Rd. NE Apt. E-4
City
Sandy spring
State
GA
Zip
30342-
Cell
(770) 895-3582
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cadenas
First
Saturnino
DOB
11/29/1958
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
No

Petitioner

TPO
YES
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
Eder Cadenas 06/25/1982 Mother GA/USA
Felicitas Ester Cadenas 04/14/1986 Grandmother Mexico-Paterna
Jesus Cadenas 03/17/1993 Mother GA/USA
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
Ana