Continual Care

Language Services

Ibero offers English/Spanish interpreting, translation, and Spanish Language Proficiency Test services in both medical and non-medical settings. Our goal is to address the Spanish language communication barriers that many Spanish-speaking individuals face when seeking necessary services. Requests for services should be received at least two weeks in advance of when the service is needed, and documents to be translated should preferably be submitted in Word format.

Please fill out as much information as you can, and someone will get back to you shortly. Please indicate in the interest box the service you are requesting. If you are interested in translation services, please upload the document you need translated.

Request Programs

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Language Services

Applicant Contact Information

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Email:

Phone:

Alternate Phone:

Address 1:	Address 2:
City:	State: --Choose One-- --Choose One-- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	County: --Choose One-- --Choose One--	ZIP code:

Applicant Name

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Salutation:

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First:*

Middle:

Last:*

Suffix:

Date of Birth:

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Interests/Other

Describe the client's interests, i.e. what is prompting submitting this application.

Files

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Word Document

Pending