Event Sign Up Sheet | Track It Forward

TB Clinic Transportation Opportunity!

Wednesday, June 14 2023

Client Name(s): Ruslana Dnistrian, Andrii Dnistrian , Valeriia Dnistrian
Number of individuals to transport: 3
Language: Ukrainian
Client Phone Number: (585) 305-7831
DOB: 4.16.1994 (Ruslana), 4.1.1992 (Andrii), 3.29.2019 (Valeriia)
Appointment Date: 6.14.23
Pick- up time: 12:30pm
Appointment Time: 1pm
Pick-up location: 1787 Portland Ave, Rochester, NY 14617
Appointment location: 222 Alexander Street, Suite 5000, Rochester, NY 14607
Provider: TB testing
Estimated time volunteering: 2 hours
Client should bring: medicaid cards, medical records
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

12:30pm - 2:30pm
Medical Appointment Transportation Opportunity
Client Name(s): Ruslana Dnistrian, Andrii Dnistrian , Valeriia Dnistrian Number of individuals to transport: 3 Language: Ukrainian Client Phone Number: (585) 305-7831 DOB: 4.16.1994 (Ruslana), 4.1.1992 (Andrii), 3.29.2019 (Valeriia) Appointment Date: 6.14.23 Pick- up time: 12:30pm Appointment Time: 1pm Pick-up location: 1787 Portland Ave, Rochester, NY 14617 Appointment location: 222 Alexander Street, Suite 5000, Rochester, NY 14607 Provider: TB testing Estimated time volunteering: 2 hours Client should bring: medicaid cards, medical records 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
0 / 1

Contact the event organizers: Elisabeth Stojkovic