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Driver Request- General Doctor's Appointment

Wednesday, September 28 2022

Date of Appointment: 9/28/22
Appointment Time: 8:45am
Pickup Address: 4513 Regal Ridge Dr. #3116, Fort Worth, TX 76119

Facility and Doctor Name: JPS Family Health Clinic

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

Full Client Name (s), Gender and Birthday: Sailo Nasrullah, F, 1/1/52
Khadija Shah Mahmood, F, 2/1/2006
Case number: HB-122947
How Many Adults/Children: 2 adults, 1 child

Case Worker name and number for volunteer questions: Noelle Foster, 817-936-0591. If the father goes to the appointment, you can just drop them off outside. If he doesn't go, then please make sure they get successfully checked in on 4th floor

Volunteer’s Notes from the appointment:

8:45am - 11:00am
JPS Family Health Clinic (1500 S Main St 4th Floor, Fort Worth)
0 / 1

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