ESC-ELO-73

Code
ESC-ELO-73
Mercy ID
V-00388-01
Encounter Date
01/16/2001
Last
Escalante
First
Elodia
DOB
03/20/1973
County
Dekalb
Street
1627 D- Briarwood Rd.
City
Atlanta
State
GA
Zip
30319-
Home
(404) 636-8543
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education

Spouse Information

Last
Angel
First
Javier
DOB
N/A
Address
N/A
Telephone
N/A
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
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
Aurencio N/A Parents GA/USA
Kevin N/A Parents GA/USA
Romeo N/A Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
R. Miranda
Referred By
x7764 Michael Roman