This link to a whitepaper issued by Cyracom.com provides a nice primer on how to work in a culturally sensitive manner with the Deaf and Hard of Hearing community. It also explains the importance of using certified ASL interpreters in a medical setting.
The following abstract from the Medical Care website highlights how inaccurate language interpretation in medical encounters is common and more frequent when untrained interpreters are used (Medical Care members can login to download the complete report):
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South Eastern Medical Interpreters Association