Event Sign Up Sheet | Track It Forward

Health Screening/TB

Monday, October 10 2022

Pickup Address: 2015 Cypress Club Dr Apt 1302, Arlington,TX76010
Facility and Doctor Name: Tarrant County Public Health/ TB, refugee Clinic
Address: 1101 S Main St. Fort Worth, TX 76104
Full Client Name (s): Orlando, Avalo Fernandez
Gender :M
Birthday:08/18/1989
Language: Spanish
Phone Number: 817-456-3727
Documents Needed: ID (photo), Medical Insurance (RMA).
Car Seats Needed?: No
Estimated time of entire appointment: 2 hours, 30 minutes
Case number: 240-450-612
How Many Adults/Children: 1
Case Worker name and number for volunteer questions: Justin Waka
Cell: 682-215-4546

8:00am - 10:00am

Contact the event organizers: