Welcome Shady Grove Fertility

To Request an Interpreter for In Person or Via Ring Central (Virtual Interpreter) Please Complete the Request form Below.

If you Need to Cancel a Request, please Click Here

If you Need to Log Into your on-demand video interpreting account, please Click Here (You will need your assigned email/password combo for this option. If you do not have this, please request from your Administrator).

To access an on-demand interpreter via telephone. Dial 718-838-9317 (You will need your assigned pin number for this option)

What Type of Service Do You Need? *

• American Sign Language (ASL)
• Foreign Language (Spanish, French, etc)
• Captioning (CART)

What Language are You Requesting *

State?? *Select Your StateDistrict of ColumbiaFloridaGeorgiaMarylandNew YorkPennsylvaniaTexasVirginiaOther

DC *Select a DC Area Office2021 K St NW Suite 101 Washington, DC. 200062021 K St. NW Suite 701 Washington, DC 200065215 Loughboro Road, NW, Suite 410 Washington, DC. 20016Other

Florida *Select a Florida Office 515 South Kings Ave, Suite 2200 Brandon, FL 335115016 West Cypress Street, Suite 202 Tampa, FL 336072324 Cypress Cove, Wesley Chapel, FL 33544Other

Georgia *Please Select a Georgia Location 3400-A Old Milton Parkway, Suite 390 Alpharetta, GA 300055445 Meridian Mark Road, Suite 270 Atlanta, GA 303422061 Peachtree Road NW, Suite 350 Atlanta, GA 3030961 Whitcher Street, Suite 4140 Marietta, GA 30060Other

Maryland *Please Select a Maryland Location 2000 Medical Parkway, Suite 308 Annapolis, MD 21401720 Aliceanna Street, Suite 300 Baltimore, MD 2120210630 Little Patuxent Parkway, Suite 305 Columbia, MD 21044165 Thomas Johnson Drive, Suite F, Frederick MD 21702203 Hospital Drive, Suite B100 Glen Burnie MD 210611165 Imperial Drive, Suite 200 Hagerstown, MD. 217409601 Blackwell Road, 4th Floor Rockville, MD. 208509601 Blackwell Road, 5th Floor Rockville, MD 208501647 Woodbroke Drive, Salisbury, MD 21804804 Pershing Drive, #005 Silver Spring, MD 20910901 Dulaney Valley Road, Suite 100 Towson, MD 21204901 Dulaney Valley Road, Suite 616 Towson, MD 212043010 Crain Highway, Suite 201 Waldorf, MD 20601844 Washington Road, 3rd Floor Westminster, MD 21157Other

New York *Please Select a New York Location 110 East 60th Street 5th Floor New York, New York 1002241 Flatbush Ave Suite 400B Brooklyn, NY 11217Other

Pennsylvania *Please Select a Pennsylvania Location945 Chesterbrook boulevard Wayne, PA 19087205 Granite Run Drive, Suite 350 Lancaster PA 176012005 Technology Parkway, Building 2 Suite 340 Mechanicsburg PA 170501515 Market Street, Suite 1030 Philadelphia, PA 18976865 Easton Road, Suite 290 Warrington, PA 18976Other

Texas *Please Select a Texas Location Beaumont – 2344 Dowlen Road, Beaumont, TX 77706Clear Lake – 1015 West Medical Center Blvd, Suite 2100 Webster, TX 77598Houston – 7400 Fannin Street, Suite 1180, Houston, TX 77054Memorial City – 9230 Katy Freeway, Suite 540 Houston, TX 77055Other

Virginia *Please Select a Virginia Location 901 N. Stuart Street, Suite 610 Arlington, VA 2220324430 Stone Springs boulevard, Suite 345 Dulles, VA 2016612011 Lee Jackson Memorial Highway, Suite 302, Fairfax, VA. 220338501 Arlington Boulevard, Suite 500 Fairfax, VA 22031200 Executive Center Parkway, Suite 102, Fredericksburg, VA. 2240119500 Sandridge Way, Suite 280 Leesburg, VA. 201769030 Stony Point Parkway, Suite 390 Richmond, VA 232359030 Stony Point Parkway, Suite 450 Richmond, VA 2323513580 Groupe Drive, Suite 105 Woodbridge, VA 22192Other

Please Enter an Address for your Location *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Your Name *

First

Last

Your Phone *

Email *

How Will You Connect with the Interpreter? *

• In-Person (I want the interpreter to come to the office)
• Virtual (I want to connect to the interpreter through Ring Central)

Appointment Date and Start Time? *

Date

Time

What Time Do You Expect the Appointment to End? *

What Time Zone is the Appointment? *

• Eastern
• Pacific
• Central
• Mountain

Please copy the Ring Central Link for This Appointment Below or Let us know You will Send the Link to us Later *

You may copy/paste link or type “will send link later” Please send the link at least 30 minutes before the start time of the appointment

Arrival Instructions for Interpreter (Include Onsite Contact Name, Phone Number, and Anything the Interpreter Will Need to Know when They Arrive) *

Doctor/Provider Name *

Please Describe the Medical Appointment of Procedure *

This will help the interpreter prepare

Patient's Name *

Interpreter Gender *

• Female
• Male
• No Preference

Are There any Special Language Needs Such as Close Vision, Tactile, Pro Tactile (for deaf/blind patients) Cognitive Impairment, etc?

Submit