Vital Communications Inc. - Providing a unique sign language and interpreter service using a communication system that provides the ability for the hearing communities to communicate with the deaf and hard of hearing communities.  
Vital Communications Inc. - Providing a unique sign language and interpreter service using a communication system that provides the ability for the hearing communities to communicate with the deaf and hard of hearing communities.
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Vital Communications Inc. - Providing a unique sign language and interpreter service using a communication system that provides the ability for the hearing communities to communicate with the deaf and hard of hearing communities.
 
 
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Interpretation Request Form

To request an Interpretation Service Provider, fill out the form below, then click the button at th ebottom of the page when finished to submit your information to us.

 

Date of Interpreting needed:     Day  Month

Start Time:              End Time:  

Appointment Location/Address:
    

Site Phone Number:  

Contact Person:  

Type of Appointment: (i.e. - staff meeting, check-up, interview,...)
  

Person(s) Present for Appointment:
  

Other Key Participants:
  

Driving Directions:
  

Requestor's Name:  

Phone Number:  

Today's Date:   Day  Month

Billing Address:
  

Payment Authorized by: (printed name & signature)
  

Email Address:   

Fax Number:  

Other Relevant Numbers:
  

P.O. Number:

Medical Record Number: (if applicable)   

Comments:
  

Confirmation of our interpreting service provider’s acceptance will be faxed back to you as soon as the assignment is filled.  If it is a particularly high demand time for service, and we do not yet have an interpreter scheduled, we will call you two days before to let you know.  If you would like more notification time, please let us know.

Please note that there is a minimum 2 hr. charge.  Other charges may apply for travel/distance appointments.  You may contact our office for your personal quotes on services.


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