Request an Irish Sign Language Interpreter for a GP appointment "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.Your DetailsYour Name* First Last Your Contact Number*You may be contacted by an interpreter at this number in relation to this request.Your Email Address* You may be contacted by an interpreter at this address in relation to this request.Your OrganisationNot required - you may fill this out if you belong to an organisation that works with deaf people.Assignment InformationName of Deaf Person* As Above Other Name of Deaf Person (Other)* First Last Only provide this information if you have permission to do so.Privacy Preference* Visible to All Interpreters Only Visible to Selected Interpreters Interpreter referral requests are not publicly visible, but interpreters on our system can log in to view current requests. You may choose to restrict visibility to the interpreters under consideration for the assignment. Note that this includes interpreters that SLIS staff may subsequently add to the request.Interpreter PreferenceAisling DragoiAlex DunskyAli StewartAlison HarringtonAllyce MalynnAmanda CooganAmanda DunneAmanda MohanAmy ByrneAndrea SmithAnita CunneenAnna GiglioneAoife BlakeAoife BlakeAoife HarringtonAoife McLaughlinBernadette FergusonBertha CohenBrenda QuiggCaoimhe BennettCaoimhe CoburnGrayCarmel McgloinCarol McArdleCaroline OLearyCarri O'DonnellCatherine WhiteCiara FlatleyCiara GrantClaudia MatassaClodagh GibneyCormac LeonardDamien OwensDavid AllanDawn KellyDeirdre TobinEileen DohertyElena GisbonElla CagneyElzbieta CichockaEmily ReynoldsEmily EganEoin FloodFiona IvoryNoonanFiona LandersFrankie BerryGemma ShannonGian Paolo AlluvioHeidi VeldheerHelena SaundersImelda GibbonsIsabelle WalshJohn TullyKatie McLoughlinKatie CannonKeira OConnellKristina CreganLeah MurrayLeanne SaurinLianne QuigleyLisa DunneLisa Harvey-ColemanLorraine LeesonLuna FraherMairead HegartyMarcella DillonMary DermodyMichael FeeneyMichelle McNultyNatalia GryzlovaNiamh DohertyNiamh SkerrittOrla MacCabePauline McMahonRay GreeneRobert BallRomy O'CallaghanSabrina HanleySally ByrneSandra IvorySarah FalconerSarah GarveySean HerlihySenan DunneShannon ClarkeShelley GibsonSusan CaveSusan O'CallaghanSusan WhelanSuzanne CareyTara O'NeillTony dolanTracey DalyTrisha McMahonVanessa CunninghamVanessa KellyVanessa O'ConnellVeronica WhiteWillie WhiteIf you already know the name of any interpreters on our system whom you would like to consider this assignment, you may choose them here. Note that if you do not select any interpreters, the request will remain hidden until SLIS staff add suitable candidates to it. Therefore it is suggested that, where possible, you do not leave this field empty or that you choose "Visible to All Interpreters" above.Appointment DetailsPrivacy Advisory* I understand Any information entered in the Assignment Details field above will be visible to the interpreters on slis.ie.Attendance Type* In-Person Remote Either Appointment Date Preference* Specific Date No Set Date Availability*Appointment Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear203120302029202820272026Please allow as much notice as possiblePreferred Appointment Time Hours : Minutes AM PM AM/PM File Upload None Image Document File*Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 1 MB. Image*Clinic InformationClinic Name*Clinic County*Select a CountyCarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowAntrimArmaghDerryDownFermanaghTyroneClinic EircodeClinic Email Clinic PhoneAdminVisibility* Draft Published ConsentConsent* I agree to the privacy policy and that all data submitted with this form may be shared with relevant Sign Language InterpretersIn the event that this referral is fulfilled elsewhere, we would be very grateful if you could inform us! You can contact us via our contact page. Video Guide
