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Book An Interpreter Form

Your booking will be processed in office hours: 8am to 6pm Monday to Friday

Appointment Date / Time

Appointment Date/s (DD/MM/YY):  *
Start Time:  *
Choose One: 
Finish Time: 
Choose One: 

Patient's Name:  *
Deaf Consumer's Name:  *
Deaf Consumer's Date of Birth: 
Deaf Consumer's Contact Number: 
Deaf Consumer's Email Address: 

NDIS Participant Number: 

Aboriginal or Torres Strait Islander Origin?: 
Deaf Consumer's Relationship to Patient: 
Deaf Consumer's Mode of Communication: 
If other Sign Language used, what language?: 

Is this a Video Remote Interpreting (VRI) appointment?: 

Interpreter Names

Interpreter Name: 
Interpreter Name: 
Interpreter Name: 
Interpreter Name: 

Name of Medical Professional: 
Name of Surgery / Clinic:  *
Appointment Address:  *
Appointment Contact Phone No:  *
Appointment Contact Fax No: 
Appointment Contact Email Address: 
Type of Health Care Service: 

Person Filling In This Form

Name:  *
Contact Number:  *
Contact Email Address: 
Relationship to Deaf Consumer: 
 

Type the characters you see in the picture below.

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Letters are not case sensitive
Note - Costs may apply if: Booking is cancelled by either Practice or Client with less than 24 hours notice or 1 business day; An interpreter arrives at a booking which has been cancelled without NABS being notified; A client does not attend appointment ('no show')
Privacy Statement - The National Auslan Interpreter Booking and Payment Service (NABS) respects the privacy of all persons who utilise its functions and services. We are bound by the Australian Privacy Principles (APPs) in the Privacy Act 1988 (which regulates how organisations may collect, use, disclose and store personal information and how individuals may access and correct personal information held about them). Also see NABS Guidelines.
NDIS PARTICIPANTS: I am an NDIS Participant. I have interpreting included in my NDIS Package. I understand my NDIS Package will be used to pay for the requested service.
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