Driver Request- General Doctor's Appointment
Monday, July 25 2022
Date of Appointment: 7/25/22
Appointment Time: 2:35
Pickup Address: 4513 Regal Ridge Dr. #3116, Fort Worth, TX 76119
Facility and Doctor Name: JPS Family Health Clinic (4th floor), Dr. J. Smith
Documents Needed: All health insurance cards, ID
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 1.5 hrs
Full Client Name (s), Gender and Birthday: Faiz Ullah Shah Mahmood, M, 3/20/1960
Hanzalah Shah Mahmood, M, 12/5/2010
Case number: HB-129947
How Many Adults/Children: 1 adult, 1 child
Case Worker name and number for volunteer questions: Noelle Foster, 817-936-0591
Volunteer’s Notes from the appointment:
2:35pm - 4:30pm
1500 S. Main St, Fort Worth (JPS Main on 4th floor)
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