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HomeMy WebLinkAbout97-00160 ~ <<: f 3 o ~ ~ lit. ~ ~ ~ ~ \l '" -.. 'It -V) \ ~ .1 t' ~ ~ . , \ I ! ,~ The defendant is ordered to refrain from having any direct or indirect contact with the plaintiff including, but not limited to, telephone and written communications, except for the limited purpose of faci litating custody arrangements. The defendant is enjoined from harassing and stalking the plaintiff and from harassing the plaintiff's relatives, or the minor chi Idreno The defendant is enjoined from entering the plaintiff's place of employment. The defendant is enjoined from removing, damaging, destroying or sel I ing any property owned jointly by the parties or owned solely by the plaintiff. ^ violation of this Order may subject the defendant to: i) arrest under 23 Pa.CoS. ~6113; ii) a private criminal complaint under 23 Pa.C,S. ~6113,1; iii) II charge of indirect criminlll contempt under 23 Pa,CoSo ~6t14, punishable by imprisonment up to six months and a fine of $100.00-$1,000.00; and iv) civil contempt under 23 Pa.C.S. ~6tI4.1. Resumption of co-residence on the part of the plaintiff and defendant shall not nullify the provisions of the court order. This Order shall remain in effect until modified or terminated by the Court and can be extended beyond its original expiration date if the Court finds that the defendant has committed another act of abuse or has engaged in a pattern or practice that indicates continued risk of harm to the plaintiff. Temporary custody of I1rooke A. and Alexa M. 110wman is hereby ~ ~ nwarded to the plnintiff, Maria Salerno-Uowman. The defendant is ordered to rei inquish to the sheriff's department any weapons which he owns, possesses, has used or threatened to use against the plllint iff: nnd the defendant is prohibited from acquiring or possessing any other weapons for the duration of this Order. A hearing shall be held on this matter on the day of January, 1997, at I, ..:m., in Courtroom No._, Cumberland ( County Courthouse, Carlisle, Pennsylvania. t I .. The plaintiff may proceed without pre-payment of fees ( [ r , I j, , pending a further order after the hearing. The Cumberland County Sheriff's Department shall attempt to make service at the plaintiff's request and without pre-payment of fees, but service may be accomplished under any appl icable rule of Civil Procedure. This Order shall be docketed in the office of the Prothonotary and forwarded to the Sheriff for service. The Prothonotary shall not send a copy of this Order to the defendant The Middlesex and East Pennsboro Police Departments will be by mail. provided with certified copies of this Order by the plaintiff's attorney. This Order shal I be enforced by any law enforcement agency where a violation occurs by arrest for indirect criminal contempt without warrant upon probable cause that this Order has been violated, whether or not the violation is committed in the presence of the police officer, In the event thllt an Ilrrest is Maria Salerno-Bowman, Plaintiff IN TilE COURT OF COMMON PLEAS OF CUMnERLAND COUNTY, PENNSYLVANIA v. NO, 97- j(;() CIVIL TERM Gary M. Flowman, Defendant PROTECTION FROM ABUS~; AND CUSTODY PETITION FOR PROTECTION ORDjffi AND CIlSTODY RELIEF UNDER TilE PROTECTION FROM ABUSE ACT, 23 Pa.C.S. ~ 6101 et seq, A. ARUSE 1. The plaintiff, Maria Salerno-Bowman, is an adult individual residing at 4 Tiffany Drive, Carlisle, Cumberland County, Pennsylvania. 2. The plaintiff will be moving temporarily to her parents' residence located at 163 Briarwood Drive, Pittsburgh, Allegheny County, Pennsylvania, for her own protection and to avoid further abuse as is more fully set forth herein, 3, The defendant, Gary M. Bowman, (SSN: 191-50-5016) (Date of Birth: 8/18/58), is an adult individual residing at 4 Tiffany Drive, Carlisle, cumberland County, Pennsylvania. 4. The defendant is the plaintiff's husband, 5, Since approximately 19Hat the defendant has attempted to cause and has intentionally, knowingly, or recklessly caused bodily injury, to the plaintiff, or has placed the plaintiff in reasonable fear of imminent serious bodily injury, and has knowingly engaged in a course of conduct or repeatedly committed acts toward the plaintiff under circumstances which have placed the I':aint iff in reasonahle fear of bodi Iy injury. This has included, but is not limited to, the following specific instances of abuse: a. On or about January 2, 1997, the defendant screamed at the plaintiff, forcefully grabbed her hand, and shoved her. The plaintiff call the police who confiscated the defendant's weapons, b. In or about October 1996, the defendant grabbed a loaded gun from his closet, and while pointing the gun at the plaintiff, threatened her saying "This is the only way you're getting out of here." c. In or about September of 1996, the defendant shoved the plaintiff against a counter, grabbed her nightgown, ripped it, and screamed in her face, The defendant then grabbed the plaintiff by her wrist and twisted it causing bruises on her arm. d, In or about the Summer of 1996, the defendant threatened the plaintiff by saying that he would shoot her and himself so that neither of them would get the chi Idren. e. On or about March 6, 1996, the defendant grabbed the plaintiff by her wrist causing pain and bruising. r. In or about September 1995, the defendant forcefully pushed the plaintiff ngainst a bar stool and, threw a camcorder at her and pushed her again. g. In or about June 1995, when the plaintiff was about 7-1/2 months pregnant, the defendant grabbed her 2 by the wrist pushing it away and grabbed her by the hair and repeatedly punched her. h. In or about the Summer of 1994, while the plaintiff was holding her arms in the air to protect herself from the defendant, he grabbed and punched her arm repeatedly, causing bruises on the underside of her arm, i. In or about the Winter of 1993, while the plaintiff was pregnant, the defendant choked and repeatedly kicked her in the legs and then in the back causing cramping and pains in her chest. j, On or about May 15, 1991, (the parties' wedding night), the defendant ripped the plaintiff's veil off of her head, threw her down on a bcd, and repeatedly punched her in the head, face, and body. k, On several different occasions since 1988, the defendant has kicked the plaintiff, pulled her hair, punched her, pushed her, and forcefully squeezed her body screaming in her ear. On one occasion, the defendant restrained the plaintiff in a bathroom and repeatedly punched her causing a black eye and a bloody nose. On another occasion, whi Ie the plaintiff and the defendant were in a car, and the defendant was driving recklessly causing the plaintiff to fear for her safety, he grabbed her by the hair and repeatedly 3 banged her head against the passenger's side of the window. On several occasions, the defendant has threatened to kill the plaintiff saying thut the only way she would leave him would be in a "pine box," b. On or about January 11,1997, the plaintiff will be leaving her residence at 4 Tiffany Drive, Carlisle, Cumberland County, Pennsylvania, in order to avoid further abuse. 7. The plaintiff believes and therefore avers that she is in immediate and present danger of abuse from the defendant and that she is in need of protection from such abuse. R. The plaintiff desires that the defendant be prohibited from having nny direct or indirect contact with the plaintiff Including, hut not limited to, telephone and written communications, except for the limited purpose of facilitating custody arrangements. 9. The plaintiff desires that the defendant be enjoined from harassing and stalking the plaintiff, and from harassing the plaintiff's relatives. 10. The plaintiff desires that the defendant be restrained from entering her place of employment or the schools and day care facilities of the minor children. II, The plaintiff desires that the defendant be enjoined from removing, damaging, destroying or selling any property owned jointly by the parties or owned solely by the plaintiff. 12, The plaintiff desires that nny weapons the defendant 4 Allegheny County, Pennsylvania. Since their births, the children have resided with the following persons and at the following addresses: Name Addresses Dates Plaintiff, Defendant, 4 Tiffany Drive 9/12/93 to I1nd Brooke A. Bowman Carl isle, PA 17013 8/9/95 Plaintiff, Defendant, 4 Ti ffany Drive 8/9/95 to Brooke A. and Alexa M. Carlisle, PA 17013 present Bowman The plaintiff, the mother of the children, currently resides at 4 Tiffany Drive, Carlisle, Pennsylvania, but will be moving to 163 Briarwood Drive, Pittsburgh, Pennsylvania, on or about January 11, 1997. She is married. The plaintiff currently resides with the following persons: Name Relationship Gary M. Bowman Brooke A. Bowman Alexa M. Bowman husband daughter daughter The defendant, the father of the children, currently resides at 4 Tiffany Drive, Carlisle, Cumberland County, Pennsylvania. He is married. The defendant currently resides with the following persons Name Relationship Maria C. Salerno-Bowman wife Brooke A, Bowman daughter Alexa M. Bowman daughter 18, The plaintiff has not previously participated in any litigation concerning custody of the above mentioned children in 6 this or any other Court. 19. The plaintiff has no knowled~e of any custody proceedings concerning these children pending before a court in this or any other jurisdiction. 20. The plaintiff does not know of any person not a party to this action who has physical custody of the children or claims to have custody or visitation rights with respect to the chi Idren. 21. The best interests and permanent welfare of the minor children will be met if custody is temporarily granted to the plaintiff pending a hearing in this matter for reasons including: a. The plaintiff is a responsible parent who can best take care of the minor children, and who has provided for the emotional and physical needs of the children since their births. b. The defendant has shown by his abuse of the plaintiff that he is not an appropriate role model for the minor chi Idren. WHEREFORE, pursuant to the provisions of the "Protection from Abuse Act" of October 7, 1976, 23 Pa,C.S. g 6101 tl ~., as amended, the plaintiff prays this Honorable Court to grant the folloWing relief: A. Grant a Temporary Order pursuant to the "Protection from Abuse Act:" 1. Ordering the defendant to refrain from abusing the plaintiff or from placing her in fear 7 of abuse. 2. ordering the defendant to refrain from having any direct or indirect contact with the plaintiff including, hut not I imited to, telephone and written communications, except to facilitate custody arrangements. 3. Ordering the defendant to refrain from harassing and stalking the plaintiff and from harassing the plaintiff's relatives. 4. Prohibiting the defendant from entering the plaintiff's place of employment and the schools or the day care faci lit ies of the minor chi Idren. 5. Prohibiting the defendant from removing, damaging, destroying or selling property jointly owned by the parties or owned solely by the plaint iff. 6. Ordering the defendant to stay away from the plaintiff's residence located at 163 Briarwood Drive, Pittsburgh, AI Icgheny County, Pennsylvania, and any other residence the plaintiff may estllbl ish, except for the I imi ted purpose of transferring custody of the Pllrties' chi Idren. The defendant shall remain in his vehicle at all times during the transfer of custody. 7. Grunting tempoJ'llry custody of the minor children to the plaintiff, H 8. Ordering the defendant to relinquish to the sheriff's department any weapons which he owns, possesses or has used or threatened to use against the plaintiff, and prohibiting the defendant from acquiring or possess in!! any other weapons for the duration of the order. B. Schedule a hearing in accordance with the provisions of the "Protection from Abuse Act," and, after such hearing, enter an order to be in effect for a period of one year: I. Ordering the defendant to refrain from abusing the plaintiff or from, placing her in fear of abuse. 2. Ordering the defendant to refrain from having any direct or indirect contact with the plaintiff or the minor chi Idren inclUding, but not 1 imi ted to, telephone and written communications, except to facilitate custody arrangements. J. Ordering the defendant to refrain from harassing and stalking the plaintiff and from harassing the plaintiff's relatives, 4. Prohibiting the defendant from entering the plaintiff's place of employment and the schools or the day care faei I It ies of the minor chi ldren. S. Prohibiting the defendant from removing, damaging, destroying or selling property jointly owned hy the parties or owned solely by the <) pl/lintiff. 6. Ordering the defendant to stay away from the plaintiff's residence located at 163 Driarwood Drive, Pittsburgh, Allegheny County, Pennsylvania, and any other residence the plaintiff muy establish, except for the limited purpose of transferring custody of the purties' children. The defendunt shill I remain in his vehicle at all times during the transfer of custody. 7. Grunting temporary custody of the minor children to the plaintiff 8. Ordering the defendant to rei inquish to the sheriff's department uny weapons which he owns, possesses or hus used or tbreatened to use against the plaintiff, and prohibiting the defendant from acquiring or possessing any other weapons for the duration of the Order. 9. Ordering the defendant to reimburse tbe plaintiff's out-of-pocket losses suffered as a result of the abuse including but not limited to the losses listed on the uttached sheet marked Exhibit A. 10. Ordering the defendant to pay $250.00 to reimburse one of Legal Services, Inc.'s funding sources for the cost of litiguting this case. The plaint i fr further asks that this Pet i t ion be fi led and 10 Hllr'in SnlPI'nn-nOh'tIInn, 1'111 i nl iff 1 N '1'111' ('(1\111'1' OF ('ml~10N I'I.FM; OF CIINl\l'lIl.ANn ('flIlNTY, PENNSYLVAN 1 A \'. NO. \17-1n(l Cl\'11. TElm nHf'Y ~I, !lowlIIHn, Ill' fl'ndllnl I'II()TH'TlflN 1'!lml AHIJSE ANn ('IISTOIlY QHmaLEWL CONTJ T'!!I1<JICI': I. ANn NOW, "IIi H ~____. dll~' (l f .J anllH f'Y I 1 !lq7 I nplln ('ons i dp r'll linn of t.hi~ HI,tll('llf.fI Nntinn fnr' Cnld iflll/UII'PI {,In' fIIntt"I' is hr>r'phy ,. .. -l.... /' . rp~..;c~hpdlllp" for' hpll,'itlg on till' ____:-.. _ dil~' of _~~~~':';_1;1 ___1- .-)., ---,- 1 \1\17, HI .). " __L__~t<-t) III. i fI ('1111'" ,'nom Nfl, Tlu' 'l'Plllpol'H"Y P"IlII,('linn Or'dpt, shnll r't'lIlain ill pffp(~t for' onf" ypnl' fH' Ilnl.il mndif'if'd OT' Lpl'lllillllll'd hy Ihl' ('0111'1 rpr't.ifipd l'npit's nf Ihis O,'dl'" fol' Cnnlif1l1l1'H'(~ \..;jll 1)(' pt'ovidpd In Illf' ~liddIIH;f'_' Hlld Ensl rl'rlll~.;J)(lf'n Polif'I' DpIHlf'llIIPflls h y I h f' P lit in' i r f 's 11 tin I' fl (':-' _ By 1l1p rOll,'1 I ,'OHn C'III'P~' ,\Ilnr'npy f",' Pl"intiff r', ,'lld~l' ) t II \ J I , I ~ till' C Cin I'y ~t, RnwlIIlllI p"o Sf' , ')\' I' ' I t I / ( ( <( t'l t r .. MfP - PN SALERNO BOWMJ1.N, MARIA DOB: 10/3/64 # 9"006>J~4 4 9/23/96 S: Patient was seen in the E.R. at Harrisburg Hospital on Saturday due to chest and shoulder pains. She was found to have muscular pain after an ERG and chest x-ray were done. Her labs showed that she was anemic. She has known thalassemia but her blood count at the time was 8.8 and 27.4 which is a llttle lower than it usually runs. She said she was given Tylo:: although the discharge summary doesn't state that. She says that made her sleepy so she didn't want to continue with it. She also had some chills and low grade fevers last we€k, No sore throat or cold symptoms. Of note is the fact that patient has a history of living in domestic violence. Her husband is very emotionally abusive, as well as physically abusive. He squee:es her multiple times. In fact, on Thursday before she went to the E.R., she was thrown back against the wall. She has not taken steps yet to take her 1-year-old and 3-year-old and herself out of this situation because she is fearful of losing the house and her job. Her main family support is in Fittsburgh. Her husband has threatened to harm her ie: kill her, if she tries t:J leave and threatens her that she will never see her children again. 0: General: Patient seems tense. She is intermittently tearful during the visit as we talk about the situation at home. HEENT: Eyes are PERRLA/EOMI, fundoscopic e:,:am is normal. Ears normal. Head is tender all along the musculature of the sides and back of the head. Neck: Reveals tenderness throughout the paras pinal muscles with limited range of motion w:th discomfort. Back: Revealed tender points all along the paraspinal muscles and trape:ius muscles of the entire spine with trigger points. Chest/Back: Had somewhat decreased range of motion due to pain but no scoliosis was found. Chest wall was exquisitely tender bilaterally. Lungs: Clear with good breath sounds. Heart: Regular rate and rhythm with no murmurs. Neurologic: Reflexes 2+ throughout. finger to nose testing and Romberg's testing was negative. Rapid alternating hand movements were normal. Cranial nerves were normal. A: Neck, back, and chest wall pains. More likely muscular pains related to fibromyalgia. 2, Domestic violence. 3. Anemia with history of thalassemia, Rule out underlying iron deficiency as well. ../ P: Check c-spine films due to history of abuse, as well as rib films. 2. Check total tron binding capacity, H&~ andYTSH. 3. Try Naprosyn, 500 mg. b.i.d. as needed with food as needed for pain, as well as Soma, 1 q6h or just in the evening as needed for muscle tension pain. (Continued on next pagel :-IFP - PN SALERNO BOWMAlI, :-!ARIA 4. Warned her about the sedatina nature of the muscle rela~er in particular and I told her to be careful of this as I did net want her to be sedated if she were in a dangerous situation at home. 5. Planted the seed with her about trial with anti-depressants. 6. Strongly encouraged her to contact the domestic violence center. Phone numbers were given. 7. Follow up in 2 weeks, DO: 9/23/96 DT: 9/23/96 hmr ,,\ ilc Kathleen Sempeles, M.D. ~ HFP - PN SALERNO-BOWMAN, HARIA DOB. 10/3/64 I 3168595 9/2B/95 S. Patient comee in today for advice about weight loe.. Really want. to go on Ionamin and Pondimin. She recently delivered a baby 8/9. She is 7 weeks po.t partum. SQe gainsd about 50 lb.. with the pregnancy. Pre-pregnant weight was 152, maximum weight wag about 208. She so far has lost 32 Ibs. since delivery. Feels at thi. point that the only way she is loosing the weight is by starving herself. Has been exercising about 2 x a week, walking about 2 milee. Had been on appetite lurpressant about 12 yeas ago with good results. Has done Weight Watchers in the past with good results. Wants to restart her Weight Watchers and start on an appetite surpressant. She feels if she starts eating now she is going to eat uncontrollably and gain weight.. She would like to loose down to 140 although in discussion with her she realizes that this is too low and is happy to work towards 150. Hopes to do this over the next 3-4 months. ADL's continues to have a lot of stress at home. States that when she spoke to me on the phone her husband was standing nearby and did not feel comfortable in telling me the problems. Continues with a iot of marital discord. Is not in any counselling at this time. Has contacted Domestic Violence. Has also called around to talk to attorneys. Is in the process of making up a will and conside~ing what her legal options are. Has money, vital records, etc. in a safe availablo increase ehe ever needs to leave in a hurry. Is contemplating possibly moving home with her parents but really has not pursued that. Seems to have some unrealistic expectations that the marriage will work. Was in counselling in the past and felt that this helped for a time but now feels that things have eecalated. She will bs returning to work in october and is lomewhat ambivalent about this. hal no suicidal ideations. Reports that her husband has not physically hit hsr but shs does worry because he does have a gun. She reports she does have contact with the police and talks with them as well as Domestic Violence. o. General: Affect is full. A: Weight loss counselling. 2. Situational stress with domestic violence concerns. P: Will try the Ionamin and pondimin. Explained to her that it is important that ehe eat regular meals as well as continue with hsr regular exercise. Asked her to rscheck with me in 6-8 wseks. Discussed the side effects of the medication. Gave her Ionamin 15 mg., 30 tablets, 1 po q. day and pondimin 20 mg., 1 po t.i.d., 90 tablets and no refills. 2. She is to call me if she has problems with the medication. 3. Allo scheduled an appointment for her to see the nutritionist to look more at her diet. DO: 9/28/95 DT. 9/2B/95 ba ~g~o/' rI I t " MFP-PN SALERNO-BOWMAN, MARIA DOB: 10/3/64 '2478374 4/2/93 VITAL SIGNS: Weight is 171 pounds, temperature 98.9, blood pressure 122/56, pulse 96, respiratory rate 18. S: The patient presenta today vi th complaJ.nts of back pain in the r J.ght lover back region, also vith some diffuse abdominal cramping. She reports that she vas involved in an argument vith her husband last evening. They vere fighting. He began hitting her and choking her around the neck and then kicked her in the lov back. She has had pain sJ.nce then. He did not kick her in the abdomen. She notes that she has felt the baby move, but doesn't seem to be as active as before. She has been very upset and anxious about ! this, and hasn't really been able to concentrate except for on baby activity. I Shbed has habdtno vagJ.nlal bleeding. Shde hasl sOkmie miflld tdendesrhnesds J.n hetr 10twhert ' a omen, u no rea crampy paJ.n an no ea ng UJ.. e oes no e a ' the pain is primarily 10calJ.zed in the back and does not radiate down the ,I leg. She has not used anything for it. This has occurred on several I occasions. She has been involved in domestJ.c violence vith him. She is very hesJ.stant or resistant to leave him. We have dJ.scussed domestic violence hotline. We have discussed the natural history of thJ.s to escalate. We have discussed in great detail the pattern of abuse and the low self-esteem that results from this. She is still very hesitant to leave him at this time. 0: Back: There vas a full range of motion of the back. There is some palpable tenderness over the right SI joint and low lumbar region. There is no palpable spinous process tenderness. There is no muscle spasm noted. There is no tenderness over the sciatic notch bilaterally. Deep tendon reflexes are +2. Strength is 5/5 in the lower extremities. Sensation is normal. There is a negative straight leg raise. The patient is able to flex forward 90 degrees. Side to side motion is good, but does elicit some pain. Abdomen: Soft with mild diffuse tenderness. Fetal heart tones are 142 and good. Fundal height is approximately 18 cm. She is approximately 18 veeks by dates. A: 1. strain 2. 3. Right musculoskeletal sacroiliac joint pain with paraspinous muscle status post trauma. Domestic violence. Intrauterine pregnancy at 18 weeks. P: 1. I have discussed vith the patient the need for heat, Tylenol one to tvo tablets every four hours, and rest. r-I MFP-PN SALERNO-BOWMAN, MARIA DOB: 10/3/64 12478374 4/2/93 2. I have discussed in great detail the 1mportance of her gett~ng out ot this dangerous situation. I have g~ven her the number tor domestic violence and offered to call them while she was here. The patient is hesitant to do this. She says she will try to make contact with them tomorrow when her husband is not around. She is hesitant to stay any longer here at the office for fear that her husband will find out. She reports that she does not fear for her life at this time, and is very hesitant and wants to work things out. We have discussed her unrealistic expectations. We d~scussed the seriousness of this and the fact that she could be endanger~ng her life. She still is resistant to leaving. 3. She will follow-up with me next week. I have encouraged her to call sooner if she has any further problems. She is to call ~f there is any vag~nal bleeding or any change in her pa~n. (~!!-v2r."*n AB/bjg DD: 4/2/93 DT: 4/9/93 Cassette '683 MF'? - P ~l SAL:::~NC-BCWI1AN, MA:\:A DOS: 1\l/3/S4 ..................'J........ "_..;':l~f.J 101 :'3/':1: V:TAL SIGNS: T~mp~r3tur~ ~3 38.4, r~spiratory rate 20. bl~~d pr~33uc~ lQ~,'52, p,..':'3-:- ,:0, s: The patient p.esents today 10. fOllo.-up w~th .~~a:d~ to some st:~ss ~~3~ she h~3 b~~n having. Sh~ cQntinu~s w~th n~ck ~a~n 3nd a:sc h~~ b~~n n~~_~~~~ ~ome indigest~on. Her h~atal hernia has b~en act~ng up. Sh~ C~PQ.t~ t~d~ she i~ having much ztres3 in all a~p~~t~ of h~: 1~i~. She ha~ ~tr~s2 at ~j~~ fil.tll ht?r husband, now r-=-':'atian~hip st:e-s.s at wc.rk, i~na""lcia':" .st.r=-.;:~o.(~, Q'; w~ll as her physical h~alth. Sh~ j3 very concern~d about probl~ms that ~~~ has been having with her ~arriag~ and 1~ very much int~rest~d 10 seeking ~0m~ :urth~r counse:ing. She report~d 3~veral episoc~~ wher~ 3h~ and h~: hu~tQ~~ have phY~1cally be~n abus1ve to on~ another. 5h@ repo.ts that what he~ n.~~ ;Jain stems from initially i.;! same- trauma that sh~ had wh-?o sr.e a;-.~ r.,:,,:- husband were fighting approximat~ly a y~ar ago. Sh~ re-pcrtz t~at he dc&s h~t h~r at tim~s, and th~y verbally fight on many occas~ons. Althcugh she ad~~~3 t~at th~y beth lQv~ each oth~r d~a~lj, ~he do~s a~mlt tc ma~~ p:cb:~ms ~~~h their relationship. S11~ knows that he- w~l: nct gG !~~ ccunse:~ng, t~t ~h~ ~~ ~nte:est~d ~~ st?~k~ng SGme cou~s~ling. ~he ~s not int~ce3t~d ~~ 1~3v~n~ ~~~ at th~s time, noe cOo?z she- !~e: the ~e-ec to pr~~z dn, ~har;~$ ~r ca:: t~~ dGme~tic vio:~nct? hctllnt? She conti~we~ to nct2 that ~~t~~ t~ey have had ep~S;~dC'5 c: fighting or thE're is stre-ss at 'tiork or th-a-ra art? iina:1c~3':' stre-ssors, she will hav~ more pain in her nec~ or her stomach. Presently sh; m~ght possibly be pregnant, so she has been avoiding any med~cations ot~~: than Tylenol. Sh& has ue~d Valium ~n th~ past, dnc that has h~lp~d with 6~m~ ~If th~ stre~~ and an:,iety a~ W~:: as scme ~t the t1;~tn~s~ ~n h~r ~~ck. c: Physical exam was not done today. A : 1. Cervical strain. St:n?ss. Dysfunctional r&lationship. ~ 4. J. P: 1. I spoke with the pati"nt 1n grea~ d~tail about. psy,or.c.log.;.<;al cuunseling. I ancouraged her to contact Ca~ita: Pzychol~g4=~1 A~d0ciat~~, I told her the availability of Linda Kan:leite:, and that may be somebody sh~ could wack with. 2. I encouraged her to contact DQm~stic Violence HQtlin~ 0: th~ Cr13i3 Intervention. I stressed to h"r the .01. ot he. stress un h". symptomatolo9Y at this time. 3. 5h" will follow-up this week 10r neck manipulation w~th Dr. Muscalus. Will consid". send1ng he. for some physical therapy following this and avo.;.d any other mo?dications until sho? gets a p".iod and d~te.mino?s sho? ~s not pregr.ant. 4. She will tollow-up with cc.unseli.~g . me in approximately two ~,t?(f~ we~k.s fc'r fur the.: AB/bJ9 CD: 10/19/'3:: DT: H)/:5/9: rr/ CaE;':?tte- #671 CERTIFICATION OF PFA'S Case Number (/7-1'0 flu.J.. T~ h~~ C~ fA }70/3 I Victim's Name: 711~~~-~ Name Balance Due: $ 170,50 ADD 170 State Surcharge $ c5? 0. 00 S 171 State Fine $ S 260 Sheriff Cost S S 502 Res t i tu tion $ S DELETE Name f~1',4.. 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