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Electronic Prescribing Education
Legal Advisor: Patients with Limited English Proficiency

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Legal Advisor

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In addition to the language assistance measures suggested in the Legal Advisor article, physicians may allow an LEP patient to use a family member or friend to act as an interpreter. Some LEP patients may feel more comfortable when a trusted family member or friend acts as an interpreter. When a physician determines, upon application of the four factors, that he/she should provide an interpreter, that physician should make the LEP patient aware that he or she has the option of having the physician provide an interpreter for him/her without charge, or of using his/her family member as an interpreter. Physicians should also consider the special circumstances that may affect whether a family member or friend should serve as an interpreter, such as whether the situation is an emergency, and concerns over competency, confidentiality, privacy, or conflict of interest. The physician, however, may not require a LEP patient to use a family member or a friend as his or her interpreter.

For more information on providing services to patients with limited English proficiency, please see the following references:

MMS Directory of Medical Interpreter and Translation Services

United States Department of Health & Human Services
Limited English Proficiency (LEP)
http://www.hhs.gov/ocr/lep

United States Department of Health & Human Services
Guidance to Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons
http://www.hhs.gov/ocr/lep/revisedlep.html

American Medical Association
Guidelines for LEP Patients
http://www.ama-assn.org/ama/pub/category/11828.html

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