The ability to speak with parents of newcomer children in pediatric clinics and hospitals is a challenge. The problem is not a total inability to communicate, but the danger of misunderstandings and the inability to properly seek permission when the English proficiency of the guardians is severely limited. Option Quest LLC of Southington, CT optionquest.net decided to put a tweak on a business done the same way for over 50 years; instead of having to complete forms, open an account, or waste any time at all, you simply call a toll free number when you need an interpreter and prepay on the spot for the time you use. The payment can be made by the provider or the patient, depending on whether the patient needs to communicate something or the doctor wants to eliminate all doubt and liability by using a professional interpreter. A large "select your language" poster is provided for the public area or waiting room, and a laminated instruction card given to the staff nearby. This easy to use system reduces account and billing frictions, and eliminates the fear and alienation felt by foreign language speakers in need of medical attention. It makes them feel safe and understood, because they are. The toll-free pay-by-the-minute system is available 24/7 in the USA. The posters are 24" x 38" and the moment you receive them you are ready to go. "Point to your language" posters are available below.