Event Sign Up Sheet | Track It Forward

Medical Appointment Transportation Opportunity!

Monday, January 23 2023

Goal: Masumi to ENT appointment
Client Name(s): Gul Charha Masumi
Number of individuals to transport: 1
Language: Dari
Client Phone Number: 585.825.0978
DOB: 8.16.1969
Appointment Date: 1/23/23
Pick- up time: 9:30am
Appointment Time: 10:00am
Pick-up location: 10 White Street, Rochester, NY 14608 (please call 585.825.0978 and ask Gul Charha to come outside of workplace)
Appointment location: 360 Linden Oaks Drive, Suite 220, Rochester, NY 14625
Provider: Rochester Regional Health
Estimated time volunteering: 2 hours
Client should bring: Medicaid cards

Important Information:
- Please wear your volunteer lanyard
- Please assist the client(s) with checking in and ensure all contact info is correct. Request a phone interpreter if necessary. Don’t hesitate to use the Google Translate App or Tarjimly App.
- If medication needs to be picked up at the pharmacy, please let Elisabeth know at 585.622.4336, and a Case Manager will pick up.
- Please take a photo of the After-Visit Summary with any follow up appointments and email it to the Volunteer Coordinator, Elisabeth, at estojkovic@wr.org. Please also include any important information about the appointment that would need to be passed along to the Case Manager.
- Call or text Elisabeth if you have any questions about the location of the appointment or the appointment itself: 585.622.4336
- Please track your hours on Track it Forward

9:30am - 11:30am
Medical Appointment Transportation Opportunity
Goal: Masumi to ENT appointment Client Name(s): Gul Charha Masumi Number of individuals to transport: 1 Language: Dari Client Phone Number: 585.825.0978 DOB: 8.16.1969 Appointment Date: 1/23/23 Pick- up time: 9:30am Appointment Time: 10:00am Pick-up location: 10 White Street, Rochester, NY 14608 (please call 585.825.0978 and ask Gul Charha to come outside of workplace) Appointment location: 360 Linden Oaks Drive, Suite 220, Rochester, NY 14625 Provider: Rochester Regional Health Estimated time volunteering: 2 hours Client should bring: Medicaid cards Important Information: - Please wear your volunteer lanyard - Please assist the client(s) with checking in and ensure all contact info is correct. Request a phone interpreter if necessary. Don’t hesitate to use the Google Translate App or Tarjimly App. - If medication needs to be picked up at the pharmacy, please let Elisabeth know at 585.622.4336, and a Case Manager will pick up. - Please take a photo of the After-Visit Summary with any follow up appointments and email it to the Volunteer Coordinator, Elisabeth, at estojkovic@wr.org. Please also include any important information about the appointment that would need to be passed along to the Case Manager. - Call or text Elisabeth if you have any questions about the location of the appointment or the appointment itself: 585.622.4336 - Please track your hours on Track it Forward
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Contact the event organizers: Elisabeth Stojkovic