[For foreign residence] Medical Interpreter Request Form

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[Important Remarks from OIHF]
■You must submit a written confirmation after the service.
■The honorarium and transportation costs are the responsibility of the client.
■You must pay the amount calculated by OIHF to the interpreter on the day.
■The OIHF and medical interpreters will not be held legally responsible for any disadvantages or damages that may occur to the client, patients, or related parties in relation to medical interpretation.

Agreeing this form above indicates compliance with the terms and conditions of this medical interpreter dispatch system. *

(Without your agreement, OIHF cannot send out our medical interpreter)

I agree. 同意します。 (Without your agreement, OIHF cannot send out our medical interpreter/ 同意できない場合、医療通訳者を派遣できません）

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