Get Mylinguistica

Filling out the Mylinguistica form online is an essential process for documenting services provided to limited English proficient individuals. This guide will walk you through the steps to ensure accurate and thorough completion of the form.

Follow the steps to complete your Mylinguistica form correctly.

1. Press the ‘Get Form’ button to access the Mylinguistica form and open it in the online editor.
2. Enter the appointment number in the designated field at the top of the form for tracking purposes.
3. Input the insurance I.D. number to ensure proper identification of the individual receiving services.
4. Fill in the full name of the limited English proficient person using the format 'Last Name, First Name'.
5. Provide the date of birth in the format 'Month/Day/Year' to confirm the age of the client.
6. Indicate the facility and department name where the services took place.
7. Include the complete facility address, including street, city, state, and zip code, for location reference.
8. List the first and last name of the provider or client involved in the appointment.
9. Record the date of the appointment using 'Month/Date/Year' format.
10. Specify the interpreter's start time and end time, indicating whether they occur in the AM or PM.
11. Indicate whether the appointment was a no-show by selecting 'YES' or 'NO'.
12. Choose the language interpreted during the appointment.
13. If applicable, fill in the travel information, including the number of miles and hours, ensuring this was approved in advance.
14. Use the notes section for any additional comments or relevant information.
15. Complete the interpreter attestation by signing and certifying that interpretation services were provided accurately.
16. Have the authorized representative sign to verify that the recorded times are correct.
17. Provide the printed name and title of the authorized representative below their signature.
18. Fill in the interpreter's full name and obtain their signature to confirm their participation.
19. Finally, after ensuring all information is correct, save changes, and you may download, print, or share the completed form as necessary.

Complete your Mylinguistica form online today to ensure timely processing of your services!