COR-EMI-82

Code
COR-EMI-82
Mercy ID
V-02963-01
Encounter Date
12/08/2008
Last
Cursino
First
Emiliana
DOB
08/17/1982
County
Henry
Street
328 McChadler Ridge
City
Mcdonough
State
GA
Zip
30253-
Home
(678) 583-6321
Family Status
Adult couple-no children
COB
Dominican Rep
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Brown
First
Walter
DOB
05/26/1965
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Griselda