UCLA Health Interpreter Request

Fill out this form to schedule an interpreter and please provide as much lead-time as possible. Interpreter availability cannot be guaranteed for requests made less than 48 business hours in advance.

NOTE: If you need an interpreter for a Zoom meeting or a MyChart Video Visit for a language other than Spanish or American Sign Language, or for Spanish after business hours, please do not fill out this form; instead, follow the instructions here.



MM/DD/YY or MM/DD/YYYY
Urgent/critical SAME DAY requests require approval from the Language Services management team. Please call x78001 and select option 1 to speak with someone regarding your request.
For Example: Nature of appointment, facility number, etc.