ROJ-YAR-73

Code
ROJ-YAR-73
Mercy ID
V-02708-01
Encounter Date
02/11/2008
Last
Rojas
First
Yara
DOB
05/21/1973
County
Cobb
Street
1425 Ridenour Blv. Apt 5302
City
Kennesaw
State
GA
Zip
30152-
Cell
(770) 262-8066
Family Status
Two parent family w/children
COB
Bolivia
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Rebollo
First
Roberto
DOB
04/21/1965
Address
N/A
Telephone
N/A
COB
Bolivia
Home Owner
No
Driver
No
Home Owner
YES
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
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
Camila Rebollo 04/30/2001 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Family First