***INTERPRETER REQUEST FORM***
Slocum-Dickson Medical Group P.L.L.C.
1729 Burrstone Road, Now Hartford, NY 13413 (315) 798-1500
4. Patient preference request: (if applicable)
Please call patient for appointment reminder at least 24 hours in advance! Please send a confirmation that fax request has been received and verification that an Interpreter will be provided for day of service with name and phone number of interpreter.