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I. PATIENT INFORMATION Name of patient: Patients arrival time/date: Patients/responsible parties primary language: Patient requested an interpreter? Yes No Staff member offered an interpreter to patient/responsible
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Fill in your personal details such as name, address, and contact information.
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Provide the details of the language services you require, such as the language(s) you need translation or interpretation for.
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LEP - Language Services stands for Limited English Proficiency Language Services. It refers to the translation or interpretation services provided to individuals who have limited ability to read, write, speak, or understand English.
Entities or organizations that receive federal funding or provide services to the public are required to provide LEP - Language Services to individuals who have limited English proficiency.
To fill out LEP - Language Services, organizations need to assess the language needs of their clients, provide appropriate language assistance services, and keep records of the language services provided.
The purpose of LEP - Language Services is to ensure effective communication with individuals who have limited English proficiency and to provide them with equal access to services and information.
Information that must be reported on LEP - Language Services includes the number of individuals needing language assistance, the languages spoken, the types of language services provided, and any challenges faced in providing language assistance.
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