Driver Request- General Doctor's Appointment
Friday, July 22 2022
Date of Appointment: 7/22/22
Appointment Time: 2:00pm
Pickup Address: 301 Fair Oaks Blvd #0817, Euless, TX 76039
Facility and Doctor Name: JPS Family Health Clinic
Documents Needed: Insurance cards, IDs
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 2hrs
Full Client Name (s), Gender and Birthday:
KARIMI, Shabestan (F) 11/30/1997,
KARIMI, Husna (F) 4/11/2014
KARIMI, Sonia (F) 4/14/2018
KARIMI, Abubaker (M) 11/5/2016
KARIMI, Momim (M) 8/8/1984
KARIMI, Lamia (F) 3/6/2018
KARIMI, Maryam (F) 5/15/2013
Case number: HB-109714
How Many Adults/Children: 2 adults, 5 children
Case Worker name and number for volunteer questions: Noelle Foster, 817-936-0591
Volunteer’s Notes from the appointment:
2:00pm - 4:00pm
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
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