Code
STR-TOY-72
Mercy ID
V-00499-01
Encounter Date
05/08/2001
Last
Strong
First
Toya
DOB
12/06/1972
County
Dekalb
Street
3314 Gables Dr.
City
Atlanta
State
GA
Zip
30319-
Home
(404) 875-3404
Family Status
Adult coupie-no children
COB
USA
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Rodriguez
First
Gilberto
DOB
08/12/1974
Address
N/A
Telephone
N/A
COB
Dominican Rep
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
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
J. Perez
Data Entry
K. Aleman
Referred By