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BRIDGING THE GAP MEDICAL INTERPRETER APPLICATION FORM Date: Applicant Information: Last Name: First Name: MI: Address: City: State: Zip Code: Telephone: () Cell Phone: () Email: (Required) (Print
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The healhealthutahgovwp-contentuploadsbridging form gapmedical interpreter is a specific form used for reporting information related to medical interpretation services in the state of Utah.
Medical interpreters and organizations that provide medical interpreting services in Utah are required to file this form.
To fill out the form, gather necessary information such as interpreter credentials, service dates, and patient information, and complete each section as instructed on the form.
The purpose of the form is to ensure proper reporting and accountability for medical interpreting services provided, as well as to track compliance with state regulations.
Required information typically includes the interpreter's name, credentials, services rendered, dates of service, and any relevant patient details.
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