Request a Sign Language Interpreter

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If an American Sign Language (ASL) interpreter is needed for a public event, please contact us no later than one week in advance. We will confirm with you that your request has been received. If you do not receive confirmation of your request from the Interpreting Services office, please contact us directly at 240-566-4370. If you need to cancel the requested interpreters, we ask that you give us at least 48 hours’ notice.
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Deaf Participant's Name:* This field is required.
First Name
Last Name
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Email Address:* This field is required.
example@example.com
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Video Phone Number:* This field is required.
Area Code
Phone Number
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Program/Event Name:* This field is required.What is the name of the program or event you need an interpreter for.
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Program/Event Start Date & Time:* This field is required.What is the start date and time of the event.
Date
Month
Day
Year
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2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
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Program/Event End Time:* This field is required.What is the end time of the event.
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
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Location of Event:* This field is required.Please select where this event is located.
Other
Other
Frederick Health Hospital
Frederick Health Crestwood
James M Stockman Cancer Institute
Frederick Health Rose Hill
Frederick Health Urbana
Frederick Health Hospice
Mt. Airy Health & Wellness Pavilion
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Additional Comments/Special Needs Requests:
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: