CAM-FEL-74

Code
CAM-FEL-74
Mercy ID
V-01994-02
Encounter Date
08/16/2005
Last
Romani camacho
First
Felix
DOB
03/06/1974
County
Dekalb
Street
4229 Steve Reynolds Blvd. #140
City
Norcross
State
GA
Zip
30093-
Home
(678) 768-0778
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Veiro
First
Yasmin
DOB
07/03/1973
Address
N/A
Telephone
(770) 912-3379
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
No
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
R. Miranda
Data Entry
R. Miranda
Referred By