Event Sign Up Sheet | Track It Forward

TB Clinic Transportation Opportunity!

Friday, April 07 2023

Client Name(s): Yaroslav Semenyna
Number of individuals to transport: 1
Language: Ukrainian
Client Phone Number: (929) 605-8850
DOB: 9.10.1995
Appointment Date: 4.7.23
Pick- up time: 10:30am
Appointment Time: 11am
Pick-up location: 123 Longsworth Dr, Rochester NY, 14625
Appointment location: 222 Alexander St # 5500, Rochester, NY 14607
Provider: TB testing
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

10:30am - 12:30pm
Medical Appointment Transportation Opportunity
Client Name(s): Yaroslav Semenyna Number of individuals to transport: 1 Language: Ukrainian Client Phone Number: (929) 605-8850 DOB: 9.10.1995 Appointment Date: 4.7.23 Pick- up time: 10:30am Appointment Time: 11am Pick-up location: 123 Longsworth Dr, Rochester NY, 14625 Appointment location: 222 Alexander St # 5500, Rochester, NY 14607 Provider: TB testing 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
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Contact the event organizers: Elisabeth Stojkovic