CAS-SAH-76

Code
CAS-SAH-76
Mercy ID
V-00101-01
Encounter Date
02/17/2000
Last
Castillo
First
Sahidy
DOB
01/14/1976
County
Gwinnett
Street
1111 Montrose Park way
City
Norcross
State
GA
Zip
30092-
Home
(770) 368-1642
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Perez
First
Silcestre
DOB
04/27/1977
Address
5054 F- Becerly glenn Village Norcross ga 30092
Telephone
(770) 623-9577
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
D. Gomez
Referred By