BAR-LAU-73

Code
BAR-LAU-73
Mercy ID
V-00599-01
Encounter Date
07/11/2001
Last
Barrios
First
Laura
DOB
05/13/1973
County
Cobb
Street
1549 Kenox Apt. 3-A
City
Marietta
State
GA
Zip
30060-
Home
(770) 218-3037
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Barrios
First
Toribio
DOB
07/30/1968
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
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
Heide Barrios 02/23/1999 Parents GA/USA
Omar Barrios 07/09/1993 Grandparents Mexico
Toribio Barrios 07/30/1995 Parents GA/USA
NOTES
Signed consent form and promesa before the fire

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