CER-ISA-68

Code
CER-ISA-68
Mercy ID
V-00516-01
Encounter Date
09/27/2002
Last
Cerna
First
Isabel
DOB
11/16/1968
County
Cobb
Street
2530 Washington ST.
City
Austell
State
GA
Zip
30106-
Home
(770) 485-2116
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Aleman
First
Avelardo
DOB
08/06/1979
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
YES
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
Juan Victor Garcia 08/31/1998 Mother GA/USA
Laura Garcia 11/19/1999 Mother GA/USA
Marco Garcia 08/18/1996 Mother GA/USA
Pablo Aleman 02/08/2001 Parents 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
K. Aleman
Referred By
x7764 Ma. Eugenia