Driver Request- General Doctor's Appointment
Monday, September 12 2022
Date of Appointment: 9/12/22
Appointment Time: 1:35pm
Pickup Address: 114 Manchester Dr. #214, Euless, TX 76039
Facility and Doctor Name: JPS NE Clinic (3200 W Euless Blvd, Euless)
Documents Needed: Insurance cards
Car Seats Needed? (located at the Fort Worth office) Yes, 1 infant car seat
Estimated time of entire appointment: 1.5 hours 
Full Client Name (s), Gender and Birthday: Heela Zakhil, F, 8/25/22
Shazia Tarin, F, 3/3/1993
Case number: HB-107905
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:
                          1:35pm - 3:00pm                      
        
            (JPS NE Clinic) 3200 W Euless Blvd           
           
              
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