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WIN Limited English Proficiency Survey and Interpreter Request Form fax to 2741825 UNC Interpreter Network Patient Name: D.O.B.: 1. Does this patient speak English fluently? Yes No 2. If not, what
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Who needs limited english proficiency survey?

01
Individuals who have limited proficiency in the English language need the limited English proficiency survey.
02
This survey is designed to assess the level of English language skills and the need for language assistance services for individuals who may face language barriers in accessing important resources, services, or information.
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The survey helps identify individuals who may require language assistance in various settings such as healthcare, education, legal proceedings, government services, and more.
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It ensures that appropriate language assistance services are provided to individuals with limited English proficiency, allowing them to effectively communicate and access their rights and benefits.
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Limited English Proficiency (LEP) survey is a tool used to identify individuals who have limited English language skills.
Certain organizations, such as government agencies or entities that receive federal funding, are required to file LEP surveys.
LEP surveys can be filled out by collecting language preference data from individuals and documenting any language assistance services provided.
The purpose of LEP surveys is to ensure that individuals with limited English proficiency have equal access to services and information.
Information such as language spoken at home, proficiency in English, and need for language assistance services must be reported on LEP surveys.
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