Add or Edit Information



Date Created:  07/01/2019

Assigned Worker:  

Multiple Potential Fathers:  

Staff Notes:  

Mother's Information

Name:  Kristina Elizabeth Osbun

Nick Name:  

Date of Birth:  04/15/1997

Address:  287 W 40th St., Apt. C201, Holland, Michigan, 49423, United States

Mailing Address:  Michigan, United States

Phone:  616-368-4326

eMail:  kristina.beth0322@gmail.com

Education:  Less Than High School

Employer/School:  

Race:  Hispanic or Latino White or Caucasian

Ethnicity:  Father is a Mexican Immigrant Mother is Celtic and 15% Cherokee

Religion:  Spiritual, but not religious

Hereditary Conditions or Diseases:  Yes

Hereditary Conditions or Diseases Detail:  

Diabetes and Kidney Failure

Med/Psych Evaluation:  Yes

Med/Psych Eval Detail:  

CMH- 13 and 14
Holland Behavioral Health- 11 and 12

Current Health:  Fair, working toward wellness

Achievements:  

Interests:  

Relationship:  Single Never Married

Spouse/Significant Other's Name:  

Date of Marriage:  

Date of Divorce:  

Currently Pregnant:  Yes

Due Date:  09/11/2019

Desires Adoption Plan:  Yes

Prenatal Care:  Yes

Prenatal Care Details:  

Medication and Drug Use:  Yes

Medication and Drug Use Details:  

[{“Drug or Medication”:”Hydroxy Progesterone”,”How Often”:”Once a week”}]

Other Children:  No

Other Children Details:  

Adoption Plan for These Children:  No

Child's Information

Name:  

Gender:  

Place of Birth:  Michigan, United States

Date of Birth:  

Time of Birth:  

Prenatal Care:  No

Prenatal Care Details:  
(If mother filled out the questionaire before the child's birth, indicate the prenatal care she received after connecting with Greater Hopes.)

Medication and Drug Use:  No

Medication and Drug Use Details:  
(If mother filled out the questionaire before the child's birth, indicate her mication and/or drug use after connecting with Greater Hopes.)

Mother's Health at Birth:  

Father's Health at Birth:  

Child's Health at Birth:  

Medical/Psychological Diagnosis:  No

Medical/Psychological Diagnosis Detals:  

Neglect or Abuse:  No

Neglect or Abuse Details:  

Health Care Provider(s):  

Other Care Providers:  

Custody:  

Cort Order:  No

County of Court Order:  

Court Order Case Number:  

Parenting Time:  

Father's Information

Name:  Jonathan David Duranleau

Nick Name:  Jon

Date of Birth:  09/16/1972

Address:  4298 58th St., Apt. 8, Holland, Michigan, 49423, United States

Phone:  616-212-6377

eMail:  cactuar3rd@yahoo.com

Employer/School:  

[{“Name”:”Boatwerks- Redwater Restaurant Group”,”Location”:”Holland, MI”,”Hours/Schedule”:”12- 14 hours daily, Wednesdays off”}]

Education:  Some College

Race:  

White or Caucasian

Ethnicity:  

Dad is French Canadian
Mother is unknown

Religion:  

Believes in God, but isn’t religious. Follows some biblical teachings.

Hereditary Conditions:  Unknown

Hereditary Conditions Details:  

Medical/Psychological Diagnosis:  Unknown

Medical/Psychological Diagnosis Detals:  

Other Children:  No

Other Children Details:  

Achievements:  

Interests: