Health Screening/Driver request
Thursday, October 13 2022
Pick up Address: 2130 Madison Dr, Apt 189, Fort Worth,TX76131
Facility and Doctor Name: Tarrant County Public Health/ TB, refugee Clinic
Address: 1101 S Main St. Fort Worth, TX 76104
Full Client Name (s): 1. Carlos Ernesto, Portal Montero. 2. Edel, Batista Frias
Gender :M
Birthday:04/18\2/1988
Language: Spanish
Phone Number: 347-479-4600
Documents Needed: ID (photo), Medical Insurance (RMA).
Car Seats Needed?: No
Estimated time of entire appointment: 2 hours, 30 minutes
How Many Adults/Children: 2 Adults
Case Worker name and number for volunteer questions: Justin Waka
Cell: 682-215-4546
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