HER-ALF-80

Code
HER-ALF-80
Mercy ID
V-03353-02
Encounter Date
06/29/2010
Last
Hernandez
First
Alfredo
DOB
05/03/1980
County
Fulton
Street
2431 Morosco Way Apt. E
City
Atlanta
State
GA
Zip
30324-
Cell
(404) 370-2137
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ignacio
First
Selene
DOB
12/23/1979
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
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
Denilson Villanueva 08/08/1999 Mother w/Stepfather GA/USA
Hilary Hernandez 06/24/2009 Parents GA/USA
Javier E Hernandez 04/22/2007 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
C. Martinez
Data Entry
J. Manzo
Referred By
linea-Griselda