RIO-HAN-71

Code
RIO-HAN-71
Mercy ID
V-03365-01
Encounter Date
07/20/2010
Last
Rios
First
Hanifah
DOB
01/03/1971
County
Dekalb
Street
5044 Donnell Way
City
Decatur
State
GA
Zip
30035-
Cell
(678) 508-3319
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Dario
First
Rios
DOB
12/03/1971
Address
N/A
Telephone
N/A
COB
Honduras
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Said Rios 01/18/1999 Parents GA/USA
Yesenia Rios 06/15/1999 Parents GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Entrevista-Jacqueline