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Driver Request- General Doctor's Appointment

Thursday, August 25 2022

Date of Appointment: 8/25/2022
Appointment Time: 10:10am
Pickup Address: 301 Fair Oaks Blvd. #817, Euless, TX 76039

Facility and Doctor Name: JPS Family Health Clinic

Documents Needed: Medicaid, ID
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 3 hours

Full Client Name (s), Gender and Birthday: Shabestan Karimi, F, 11/30/1997
Case number: HB-109714
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:

10:10am - 1:00pm
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
Procedure
1 / 1
Full

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