Driver Request- General Doctor's Appointment
Friday, August 19 2022
Date of Appointment: 8/19/22
Appointment Time: 4:05pm
Pickup Address: 4516 Cathedral Dr. #1702 Fort Worth, TX 76119
Facility and Doctor Name: JPS Family Health Clinic (4th floor)
Documents Needed: ID, insurance (if available. I-94 if no other documents)
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 3 hours
Full Client Name (s), Gender and Birthday: Marwan Haia
Case number: EG-00113145
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:
4:00pm - 7:00pm
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
1
/
1
Contact the event organizers:
Email
*
Password
*
Confirm Password
*
First Name *
Middle Name
Last Name *
Intern
Phone Number *
Address Line 1 *
City *
State *
Zipcode *
Church
Message to Organizer