Driver Request- General Doctor's Appointment
Thursday, July 28 2022
Date of Appointment: 7/28/22
Appointment Time: 5:10pm
Pickup Address: 114 Manchester Dr #214, Euless 76039
Facility and Doctor Name: JPS NE Clinic/ Dr. Kleine-Olarte
Documents Needed: Insurance cards, ID, list of current medications
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 1.5hrs
Full Client Name (s), Gender and Birthday: Shazia Tarin, F, 3/3/1993
Case number: HB-107905
How Many Adults/Children: I adult, 0 children
Volunteer’s Notes from the appointment:
5:10pm - 6:30pm
3200 W Euless Blvd (JPS NE Clinic)
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1
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