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Driver Request- General Doctor's Appointment

Thursday, August 04 2022

Date of Appointment: 8/4/22
Appointment Time: 2:25
Pickup Address: 8500 Harwood Rd. #3315, North Richland Hills, 76180

Facility and Doctor Name: JPS Main Family Health Clinic (4th floor)

Documents Needed: ID, insurance card
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 1hr

Full Client Name (s), Gender and Birthday: Zakia Shirzad, F, 4/23/1986
Case number: HB-119396
How Many Adults/Children: 1 adult, 0 children

Case Worker name and number for volunteer questions: Noelle Foster, 817-936-0591

Volunteer’s Notes from the appointment:

2:25pm - 3:30pm
1500 S. Main St, Fort Worth (JPS Main on 4th floor)
1 / 1
Full

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