Event Sign Up Sheet | Track It Forward

Refugee Clinic Transportation Opportunity

Monday, June 12 2023

Client Name(s): Adam Maiar
Number of individuals to transport: 3 (1 adult, 2 kids)
Language: Ukranian
Client Phone Number: (585) 910-5676
DOB: 1.16.2016
Appointment Date: 6.12.23
Pick-up time: 9am
Appointment Time: 9:40am
Pick-up location: 34 Old Farm Circle, Pittsford, NY 14534
Appointment location: Center for Refugee Health, 222 Alexander Street, 4th Floor, Rochester, NY 14607
Provider: Rochester Regional Health
Estimated time volunteering: 2 hours
Client should bring: medicaid card
Important Information:
- Please wear your volunteer lanyard
- Request a phone interpreter if necessary. Don’t hesitate to use the Google Translate App or Tarjimly App!
- 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 and list the name of the client you assisted in the Comments/Notes section

9:00am - 11:00am
Refugee Clinic Transportation Opportunity
Client Name(s): Adam Maiar Number of individuals to transport: 3 (1 adult, 2 kids) Language: Ukranian Client Phone Number: (585) 910-5676 DOB: 1.16.2016 Appointment Date: 6.12.23 Pick-up time: 9am Appointment Time: 9:40am Pick-up location: 34 Old Farm Circle, Pittsford, NY 14534 Appointment location: Center for Refugee Health, 222 Alexander Street, 4th Floor, Rochester, NY 14607 Provider: Rochester Regional Health Estimated time volunteering: 2 hours Client should bring: medicaid card Important Information: - Please wear your volunteer lanyard - Request a phone interpreter if necessary. Don’t hesitate to use the Google Translate App or Tarjimly App! - 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 and list the name of the client you assisted in the Comments/Notes section
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Contact the event organizers: Elisabeth Stojkovic