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Driver Request- General Doctor's Appointment

Thursday, September 08 2022

Date of Appointment: 9/8/22
Appointment Time: 1:30pm
Pickup Address: 114 Manchester Dr. #214, Euless, TX 76039

Facility and Doctor Name: JPS NE Clinic with Dr. Klein-Olarte

Documents Needed: ID, Medicaid
Car Seats Needed? (located at the Fort Worth office) Yes, infant
Estimated time of entire appointment: 2 hours

Full Client Name (s), Gender and Birthday: Shazia Tarin, F, 3/3/1993
Case number: HB-109705
How Many Adults/Children: 1 adult, 1 infant

Case Worker name and number for volunteer questions: Noelle Foster, 817-936-0591

Volunteer’s Notes from the appointment:

1:30pm - 3:30pm
(JPS NE Clinic) 3200 W Euless Blvd (JPS NE Clinic)
1 / 1
Full

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