HSCNI Booking Form -

Please complete the following form with as much information as possible.

For bookings over one hour and/or where the subject matter is complex/intensive two interpreters may be required.

Bookings NI HSC

Your name:

Your Email:

Please select your HSC Trust area:

… If Primary Care Services – name of service

… if Other HSC Commissioned service – please describe

Communication professional required……

BSL Interpreter

ISL Interpreter

Lipspeaker

Notetaker

Preferred interpreter?

If Preferred…. Who?

Date of assignment/appointment

Start Time

End Time

Full address where assignment is to take place (including Floor/Room etc)

Name of HSC Staff member/Clinician/Practitioner

Best Contact Number

Contact Email

Name of patient/client

Appointment details/description

Any other relevant information to assist booking/assignment

If available, is there any preparation/materials that can be provided before hand?

Maximum file size: 134.22MB

If you are human, leave this field blank.

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