Event Sign Up Sheet | Track It Forward

Transportation Opportunity!

Monday, December 12 2022

Fitina has medical appointment with Dr. Laguio-Vila Office Ph# 585-922-4003
Goal: Fitina to Medical Appointment
Date: 12/12/222
Number of individuals to be transported:
Client name(s): Fitina
DOB: NA
If appointment is for a child, Parents’ name: N/A
Parents’ DOB: NA
Client’s Address: 298 Selye Terrace (Ground Floor) Rochester, NY 14613
Client’s Phone: (585) 236-5896
Language(s): French/Kiswahilli/Kibembe
Appointment pick-up time: 9:30 AM
Appointment time: 10:00 AM
Appointment Location: RGH
Address: 1299 Portland Ave, Suite 17, Rochester, NY14621
Provider: Rochester Reginal Health
Client needs to bring: Medicaid cards
Type of appointment: First appointment
Estimated duration of appointment: NA
Estimated total time volunteering:
Note: any future updates, please call Yam @ 585-371-8382
WR Contact: Elisabeth Stojkovic – (585) 622-4336
Notes:
At pick up: please knock at their door; no doorbell available.
Additional Details & Instructions:
1. Please wear your World Relief lanyard
2. Contact the Volunteer Coordinator if you encounter any issues.
Please track your volunteer hours using the Track It Forward tool online and list the name of the client you assisted in the Comments/Notes section.

9:30am - 12:00pm
Transportation Team
Fitina has medical appointment with Dr. Laguio-Vila Office Ph# 585-922-4003 Goal: Fitina to Medical Appointment Date: 12/12/222 Number of individuals to be transported: Client name(s): Fitina DOB: NA If appointment is for a child, Parents’ name: N/A Parents’ DOB: NA Client’s Address: 298 Selye Terrace (Ground Floor) Rochester, NY 14613 Client’s Phone: (585) 236-5896 Language(s): French/Kiswahilli/Kibembe Appointment pick-up time: 9:30 AM Appointment time: 10:00 AM Appointment Location: RGH Address: 1299 Portland Ave, Suite 17, Rochester, NY14621 Provider: Rochester Reginal Health Client needs to bring: Medicaid cards Type of appointment: First appointment Estimated duration of appointment: NA Estimated total time volunteering: Note: any future updates, please call Yam @ 585-371-8382 WR Contact: Elisabeth Stojkovic – (585) 622-4336 Notes: At pick up: please knock at their door; no doorbell available. Additional Details & Instructions: 1. Please wear your World Relief lanyard 2. Contact the Volunteer Coordinator if you encounter any issues. Please track your volunteer hours using the Track It Forward tool online and list the name of the client you assisted in the Comments/Notes section.
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Contact the event organizers: Elisabeth Stojkovic