FIG-ELV-68

Code
FIG-ELV-68
Mercy ID
V-02953-01
Encounter Date
11/26/2008
Last
Figueroa
First
Elvia
DOB
11/06/1968
County
Fulton
Street
3386 Motion Rd. Apt-521
City
Stockbridge
State
GA
Zip
99999-
Home
(404) 627-6448
Cell
(770) 231-8648
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Morales
First
Gregorio
DOB
05/09/1965
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
Alvaro Morales 05/31/1991 Parents GA/USA
Gabriela Morales 01/19/1985 Adulto/Casado GA/USA
Rodrigo Morales 01/15/1996 Parents GA/USA

Former Spouse 1 Information

Last
Morales
First
Gregorio
DOB
05/09/1965
Telephone
N/A
COB
N/A
Home Owner
No
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
walk in