Event Sign Up Sheet | Track It Forward

Driver to bring client to medical appointment in Bridgeport

Wednesday, June 13 2018

Pick-up Time: 1:00pm

Pick-up Location: CMHC: 34 Park St., New Haven

Responsible CIRI staff member: Christina Castellani

Contact Phone Number (cell, please): 303-587-6790

Destination with full name and address: Southwest Community Health Center: 46 Albion St., Bridgeport

Appointment Time: 2:30pm

name of doctor: Monica McLean

Number of people to be transported: 1

Names, Ages, Genders, Origin Country, and Languages (including any English) of Passengers:

Zhao Li, 28, M, China, Mandarin

1:00pm - 3:00pm
1 / 1
Full
3:00pm - 5:00pm
1 / 1
Full

Contact the event organizers: Christian Mendoza