Driver Request- General Doctor's Appointment
Monday, September 19 2022
Date of Appointment: 9/19/22
Appointment Time: 9:00am
Pickup Address: 301 Fair Oaks Blvd. #817, Euless, TX 76039
Facility and Doctor Name: JPS 4th floor
Documents Needed: ID, Medicaid card
Car Seats Needed? (located at the Fort Worth office) No
Estimated time of entire appointment: 2 hours
Full Client Name (s), Gender and Birthday: Shabestan Karimi, F, 11/30/1997
Case number: HB-109714
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:
9:00am - 11:30am
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
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