08/18/2026
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My Patient Is Deaf… Now What?
Start by Asking How They Communicate.
Let the Patient Tell You What Works.
A Deaf patient is not automatically an ASL user.
Some patients sign. Some use speech, writing, captioning, hearing technology, interpreters, or a combination of communication methods. Do not make that decision for us. Ask us.
A simple question can change the entire appointment:
“What is the best way for us to communicate with you?”
And this matters beyond being polite. Under the ADA, healthcare providers covered by the law must provide effective communication and appropriate auxiliary aids and services when needed. The appropriate method depends on the patient, the situation, and the complexity of the communication.
If an interpreter is needed, ask what type of interpreter and communication method the patient uses. A qualified interpreter must be able to communicate effectively, accurately, and impartially.
VRI can be a great option, but it is not automatically the best option for every Deaf patient or every medical situation. Complex conversations, multiple people speaking, positioning, screen visibility, delays, and the need to see facial expressions and body movement can all affect whether VRI provides effective communication. In some situations, an in-person interpreter may be necessary.
So if a patient says, “I need an in-person interpreter,” don’t immediately respond with, “We have VRI.”
Instead, ask:
“What communication method works best for you, and what do you need for this appointment to be fully accessible?”
That is where effective communication begins.
Don’t assume. Don’t decide for us. Ask us.
