HANDS ON SIGN LANGUAGE SERVICES Online Cancellation Form

If you are canceling an assignment within the next two business days, you must call our office to confirm receipt of the cancellation.

TTY: 1-800-900-9479
Voice: 1-800-900-9478

Please be advised that Hands On requires two full business days notice on all cancellations. Less than two business days notice will result in charges for original time scheduled. Please see section III. CANCELLATION of our Policies and Procedures for complete details.

Please complete one form for each cancellation. Questions marked with * are required.

Cancellation Requested by:

Name	*
Phone or TTY?	Phone TTY
Phone / TTY:	*
Email

Appointment Details

Date:	*
Start Time:	*
End Time:
	AM PM*
Deaf/H.H. Client's Name:	*
Billing Company / Facility:	*
Appointment Address:
Bldg / Dept / Suite:
City:
State:
Appointment With:

Description of Appointment/Comments *

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Please contact Hands On at contact@handsonsvs.com if you have any questions about this website or services provided.
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