Request an interpreter

MIT Medical provides interpreters at no charge. Use this form to request an interpreter for any regular, weekday appointment at MIT Medical, except for Urgent Care. (If you need an interpreter in Urgent Care, just ask at the front desk when you check in.)

Note: If you speak English, or do not feel you need an interpreter for your appointment, you do not need to complete this form.

Patient name

Preferred name

Date of birth

Patient’s preferred language (other than English)

Will a remote video interpreter meet your needs?

Yes

Do you have an appointment?

Yes

Which service do you need to visit?

What is the best way to contact you?

Telephone with an interpreter on the line

Your telephone number

Provider name

Appointment date/time

MIT Medical will email you to schedule your appointment. We will provide an ASL interpreter for your appointment.

MIT Medical will email you to confirm that we have scheduled an in-person ASL interpreter for your appointment.

MIT Medical will contact you to schedule your appointment with an interpreter.

MIT Medical will contact you to confirm that we will provide an interpreter for your appointment.

MIT Medical will contact you by telephone with an interpreter to schedule your appointment.

MIT Medical will email you to schedule your appointment. We will provide an interpreter at your appointment.

MIT Medical will contact you to schedule your appointment. We will provide an interpreter for that appointment.

Comments/Questions

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Request an interpreter

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Cambridge

Lexington

Urgent Care