Schedule a New Interpreter Request

This form is for booking an interpreter for new appointments.

If you need to cancel/change a previous interpreter request,
please use our Cancel/Reschedule form or call us at 859-312-8559.

Please call our direct line at 859.312.8559 and speak directly to our dispatcher on-call who will assist you with scheduling. Thank you!

Please provide the name and location of your clinic.
Please use the calendar pop-up for date entry. If typing the date directly, format as DD/MM/YY; other formats will cause errors.
Please do NOT list the patient’s arrival time. The interpreter will arrive 15 minutes before the appointment time.

CONFIDENTIALITY STATEMENT

THIS IS A SECURE MESSAGE WHICH WILL BE DELIVERED SOLELY TO PURE LANGUAGE SERVICES, INC. ANY DISCLOSURE, COPYING, DISTRIBUTION, OR TAKING OF ANY ACTION IN RELIANCE ON THE CONTENT OF THIS INFORMATION OUTSIDE OF THE TREATING TEAM FOR THIS PATIENT IS STRICTLY PROHIBITED.