Event Sign Up Sheet | Track It Forward

TB Clinic Transportation Opportunity!

Wednesday, December 13 2023

Client Name(s): Aline Nibigira
Number of individuals to transport: 1
Language: Kirundi, some English
Client Phone Number:
DOB: 7/5/1970
Appointment Date: 12/13
Pick- up time: 8:30am
Appointment Time: 9am
Pick-up location: 514 Lake Ave Apt. 21
Appointment location: 111 Westfall Road, Room 187, Rochester, NY 14620
Provider: TB testing
Estimated time volunteering: 2 hours
Client should bring: medicaid card

Important Information:
- client or volunteer will need travel letter with client's picture
- 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 Karen know at 585.484-1929, 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, Karen at ksheh@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 Karen if you have any questions about the location of the appointment or the appointment itself: 585.484-1929.
- Please track your hours on Track it Forward

8:30am - 10:30am
TB Clinic Transportation Opportunity!
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Contact the event organizers: Karen Sheh