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Driver Request- General Doctor's Appointment

Wednesday, September 07 2022

Date of Appointment: 9/7/22
Appointment Time: 9:45am
Pickup Address: 2309 Tudor Dr. #3803 Fort Worth, TX 76119

Facility and Doctor Name: JPS 4th floor Dr. Lawrence Brandie

Documents Needed: Medicaid, ID
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 2 hours

Full Client Name (s), Gender and Birthday: Dilbara Obaidullah, F, 1/1/1994
Case number: A-241533010
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:

9:45am - 12:00pm
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
1 / 1
Full

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