ROD-ERI-78

Code
ROD-ERI-78
Mercy ID
V-02258-01
Encounter Date
05/26/2006
Last
Rodriguez
First
Erika
DOB
12/03/1978
County
Dekalb
Street
3610 Buford Hwy #B3
City
Atlanta
State
GA
Zip
30329-
Home
(404) 325-5021
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Hernandez
First
Javier
DOB
04/19/1973
Address
N/A
Telephone
(404) 389-3967
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
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Dana Hernandez 02/26/2001 Mother GA/USA
Kimberly Hernandez 03/15/2002 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
R. Gonzalez
Referred By
Felipe Perez