Table I.

Potential communication barriers to telemedicine care for patients with limited English proficiency and proposed best practices

Type of communication	Barriers	Proposed best practices
Written communication	Telemedicine has led to increased use of written communication. The default language for online medical record, emails, instructions for store-and-forward photo-taking and uploading, and text messages is English.	Adapt all forms of written communication to patient preferred language
	Varying levels of written literacy	Consider visual tutorials such as video or infographics
Verbal communication	Patient preferred language may not be accurate in online medical records	Ask all patients and caregivers whether they need interpreters
	English-speaking family members may make appointments on behalf of the patient
	Caregivers with limited English proficiency with children who are fluent in English
	Default language for phone call reminders and instructions is English	Deliver this information in patient preferred language