No. A wide range of other situations may also require an interpreter to ensure effective communication. For example, during a routine physical, the communication may be sufficiently lengthy and complex to require an interpreter. In a psychotherapy session, the communication is sufficiently lengthy and complex to require an interpreter. The U.S. Department of Justice gives
the following example in its technical assistance manual to explain when an interpreter is required: H goes to his doctor for a bi-weekly check-up, during which the nurse records H's blood pressure and weight. Exchanging notes and using gestures are likely to provide an effective means of communication at this type of check-up. BUT: Upon experiencing symptoms of a mild stroke, H returns to his doctor for a thorough examination and battery of tests and requests that an interpreter be provided. H's doctor should arrange for the services of a qualified interpreter, as an interpreter is likely to be necessary for effective communication with H, given the length and complexity of the communication involved.