Urgent Same Day/Next Day booking

Use this form only if you have an urgent, unplanned appointment for TODAY or TOMORROW (Monday – Friday 9am-5pm excl. Bank Holidays). This option is only available during the current Covid-19 pandemic. Use of this form does not guarantee a linguist will be available.

For emergencies only, please contact our 24 hour emergency line on 07811 459315.

Step 1 of 6

ORGANISATION & LANGUAGE DETAILS
Type of interpreting required*
What Personal Protection Equipment (PPE) will you be supplying to the linguist?*
If Telephone Interpreting what system do you wish to use?*
Telephone Conference call system*
Please state how your conference call system works e.g. Consultant will call both linguist and patient.
2 way Telephone call*
Please state how your call will work e.g. Patient will be present with Consultant and Consultant will call linguist.
If Video Interpreting what platform do you use?*
Video meeting software*
Please state what software/platform you use for video meeting.
Organisation Name*
e.g. Brighton and Sussex University Hospitals NHS Trust
Your Department/Team*
e.g. Cardiology Department. If Outpatient appointment please specify which Outpatient Department.
Language*
Language spoken by client
Other Language
If language not listed above please type here.
Organisation Address*
Please provide the full address of the organisation you work for, for invoicing purposes.

Address City Post Code
Staff completing the booking form*
Please supply your full name.
Your job title
Telephone*
including area code
Extension
include your telephone extension here
Email*
Enter Email Confirm Email

PRACTITIONER DETAILS
Staff using interpreter*
Please supply their full name
Job title
Mobile Number of Staff using Interpreter
Please include to allow us to contact in case of emergency.

CLIENT DETAILS
Service User's name*
Is there a risk that the interpreter will be exposed to Covid-19 at this appointment – for example, is the appointment on a COVID ward, has the patient recently tested positive for COVID-19, or are they experiencing any symptoms?*
Gender*
Date of Birth
Date Format: DD slash MM slash YYYY
Telephone number of Service User*
If you have selected Telephone or Video Interpreting you will need to supply this.
Country of Origin
Please complete if known.
Service User's Home Post Code*
This information is essential for sessions at BSUH; It is desirable information for other sessions. If the post code is unknown this can be completed with XXX
Religion
Please complete if known.
NHS Number
Please complete if known.
Trust ID
Please complete if known.

PRE-SESSION DETAILS (Optional)

Pre-sessions are between the Interpreter and Practitioner and are recommended for sessions involving Child Protection, Domestic Violence, Terminal Illness and Mental Health. Pre-sessions usually take place directly before meeting with the client.
Is there a pre-session?*
- Yes
- No
Pre-session time
24 hour format e.g. 3pm should be entered as 15:00
Pre-session location
If different to appointment location.

Street Address City Post Code

APPOINTMENT DETAILS
Interpreting date*
Date Format: DD slash MM slash YYYY
Interpreting time*
24 hour format e.g. 3pm should be entered as 15:00
Anticipated length of session*
e.g. 90 minutes = 01:30
Interpreting location
Please provide the full address of the location the interpreter should attend at, including building name/floor number if appropriate.

Street Address City Post Code
Nature of session*
Please indicate any relevant details that will help the interpreter best prepare for the session, and the SIS team to allocate the most appropriate interpreter. Please avoid acronyms.
ALTERNATIVE APPOINTMENT DETAILS

It can save time if you can offer an alternative date and/or time.
Is there an alternative appointment date and time?*
- Yes
- No
Alternative Appointment date
Date Format: DD slash MM slash YYYY
Alternative Interpreting time
24 hour format e.g. 3pm should be entered as 15:00
Alternative Interpreting location
If the location will be different for the alternative appointment please fill in.

Street Address City Post Code

ADDITIONAL USEFUL INFORMATION
Additional information
Please put any useful information not included elsewhere on this form. Please do not use this space to inform SIS about a cancelled appointment. To cancel an appointment, please CLICK HERE.

Urgent Same Day/Next Day booking

Step 1 of 6

ORGANISATION & LANGUAGE DETAILS

PRACTITIONER DETAILS

CLIENT DETAILS

PRE-SESSION DETAILS (Optional)

APPOINTMENT DETAILS

ALTERNATIVE APPOINTMENT DETAILS

ADDITIONAL USEFUL INFORMATION

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