Communicating with Persons with Disabilities or Limited English Proficiency


  • Federal law prohibits discrimination against qualified individuals on the basis of a disability (Section 504 of the Rehabilitation Act, 29 U.S.C. §794). BayCare must ensure that persons with disabilities, including persons who have hearing, vision or speech disabilities, as well as persons of Limited English Proficiency (LEP), have equal opportunity to participate in our services, activities, programs and other benefits.
  • ​When a person with a communications disability presents for treatment or services, consult with the individual to determine which aids or services are necessary to provide effective communication. Except in emergencies, do not use family members, friends or others as interpreters to relay clinical information.
  • Resources for the deaf and hard-of-hearing vary by facility; for assistance with any of these resources, contact your Administrator on Duty (AOD).

Available resources may include:

  • Over-phone interpreting (CyraCom or Language Line, WHH only) is available 24/7 with more than 140 different languages.
  • Video remote interpreter
  • Florida Relay Service (deaf, hard of hearing, deaf/blind or speech disabled)
  • DIAL 711
  • iPad
  • Degree of pain picture card
  • Document in the record the means of communication used and how the patient
    demonstrated understanding of the information conveyed, especially when
    addressing patient education; physical examination and assessment; consent for
    procedures; and/or discharge or follow-up planning and instructions. Also document
    if a patient declines auxiliary aide or services.

Inform such patients/companions of availability of free auxiliary aids and services.
If complaint is brought to your attention, contact the AOD.

Section 504