ALC-VIO-68

Code
ALC-VIO-68
Mercy ID
V-01900-01
Encounter Date
04/05/2005
Last
Alcantara
First
Violeta
DOB
03/16/1968
County
Cobb
Street
410 C Atlanta Rd. 1150
City
Marietta
State
GA
Zip
30060-
Home
(770) 912-6638
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Rodriguez
First
Henry
DOB
N/A
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alejandro Alcantara 05/14/1994 Mother GA/USA
Esmeralda Alcantara 06/11/2003 Mother GA/USA
Javier Flores 05/10/1993 Mother GA/USA
Shasian Alcantara 05/07/2000 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By