Event Sign Up Sheet | Track It Forward

Transportation Opportunity!

Tuesday, January 03 2023

Appointment: Masumi has Follow up appointment with Michael Hanse Ph# 585-922-1700
Goal: Masumi to PT
Date: 1/3/2022
Number of individuals to be transported: 1
Client name(s): (1) Mohammad Ebrahim Masumi (PA); DOB: NA
If appointment is for a child, Parents’ name: N/A
Parents’ DOB: NA
Client’s Address: 248 Parsells Avenue, Rochester, NY 14609
Client’s Phone: -(585)825-0978
Language(s): Dari
Appointment pick-up time: 2:00 PM
Appointment time: 2:30 PM
Appointment Location: Physical Therapy & Rehabilitation
Address: 1381 East Ridge Rd, Rochester, NY 14621
Provider: Rochester Reginal Health
Client needs to bring: Medicaid cards
Type of appointment: Follow up Therapy 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.

2:00pm - 4:30pm
Transportation Team
Appointment: Masumi has Follow up appointment with Michael Hanse Ph# 585-922-1700 Goal: Masumi to PT Date: 1/3/2022 Number of individu2:30als to be transported: 1 Client name(s): (1) Mohammad Ebrahim Masumi (PA); DOB: NA If appointment is for a child, Parents’ name: N/A Parents’ DOB: NA Client’s Address: 248 Parsells Avenue, Rochester, NY 14609 Client’s Phone: -(585)825-0978 Language(s): Dari Appointment pick-up time: 2:00 PM Appointment time: 2:30 PM Appointment Location: Physical Therapy & Rehabilitation Address: 1381 East Ridge Rd, Rochester, NY 14621 Provider: Rochester Reginal Health Client needs to bring: Medicaid cards Type of appointment: Follow up Therapy 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