TOR-HER-65

Code
TOR-HER-65
Mercy ID
V-00316-01
Encounter Date
10/20/2000
Last
Torrez
First
Herlinda
DOB
04/21/1965
County
Fulton
Street
781 Moreland Ave. Apt. #4
City
Atlanta
State
GA
Zip
30316-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education

Spouse Information

Last
Carreras
First
Alselmo
DOB
04/21/1965
Address
N/A
Telephone
(678) 576-7944
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
No
Consentimiento De Participar
No

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
Anselmo Torres 05/17/2000 Mother GA/USA
NOTES
404-298-9110 I.W.H

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
Y. Garcia
Referred By