World Relief Western New York

Client Name(s): Tamara Samborska Number of individuals to transport: 2 Language: Ukrainian Client Phone Number: (585) 752-9432 DOB: 8/7/1947 Appointment Date: 3.22.23 Pick- up time: 7:30am Appointment Time: 8am Pick-up location: 833 Chestnut Bend, Webster, NY 14580 (ring doorbell, or call cell phone) Appointment location: 2200 Penfield Rd Penfield, NY 14526 Provider: Dr. Kira Kiriakidi (Penn Fair Primary Care) 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 client does not have Medicaid card, let the office know that Medicaid is pending (this should be sufficient). - 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