Driver Request for Health Screening/ JPS
Friday, August 12 2022
Full Client Name(s): Luis Manuel, Alvares Farias
Gender: Male
Birthday:09/11/1988
Language: Spanish
Phone Number: 817-797-2152
Pickup Address: 5019 Indian valley Dr, Fort Worth,TX76123
Facility and Doctor Name: Masden, Tyler
Address: 1500 South Main St. Fort Worth, TX 76104
Documents Needed: ID (photo).
Car Seats Needed?: No
Estimated time of entire appointment: 2 hours, 30 minutes
Case number: 220-306-890
How Many Adults/Children: 1 Adult
Case Worker name and number for volunteer questions: Justin Waka
Cell: 682-215-4546
1:00pm - 3:00pm
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