CLESE Language Access Center

All contact information provided to CLESE, for the purpose of scheduling appointments, must be current/accurate.

Full Name

Email Address

Phone Number

Spoken Language

Date of Assessment

Time of Assessment

Mode of Event

In Person Phone Call Zoom

A request is considered urgent if you or your loved one needs assistance within 24 hours.

Is This An Urgent Request?

Yes No

Care Coordinator available dates and times:

Care Coordinator direct contact phone number (cell phone) and email

Type of Assessment/Reason for Visit

Expected Length of Assessment

If you are in need of more assistance, please contact CLESE staff directly:

CLESE Office: 312-461-0812

Deborah Brown, Manager at 773-983-5094

Coalition of Limited English Speaking Elderly
53 W Jackson Blvd., Suite 257 Chicago, IL 60604-3679