ROJ-ISA-66

Code
ROJ-ISA-66
Mercy ID
V-01975-01
Encounter Date
07/19/2005
Last
Rojas
First
Isabel
DOB
02/26/1966
County
Gwinnett
Street
4513 Bruce
City
Doraville
State
GA
Zip
30340-
Home
(678) 768-0651
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Terrori
First
Alberto
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
Brandon Terrori 02/11/1994 Parents GA/USA
David Terrori 06/13/1989 Parents GA/USA
Jacobo Terrori 04/06/2001 Parents GA/USA
Luis Terrori 06/09/1991 Parents GA/USA
Natali Terrori 04/20/1992 Parents 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