ROG-MAG-62

Code
ROG-MAG-62
Mercy ID
V-01959-01
Encounter Date
07/11/2005
Last
Rogel
First
Magdalena
DOB
07/22/1962
County
Gwinnett
Street
1436 Killian Hill
City
Lilburn
State
GA
Zip
30047-
Home
(770) 931-3754
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Child, not in school

Spouse Information

Last
Rogel
First
Bernardo
DOB
08/20/1963
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
Bernardo Rogel Jr. 02/26/1985 Mother GA/USA
Helen Rogel 09/14/1984 Mother GA/USA
Yazmin Rogel 07/21/1994 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