To support the development of a Communication Chart, which is a clinical tool that will be used to facilitate effective communication between patients and healthcare providers. The charts are translated into four different languages CHamoru, Chuukese, English, and Filipino to best serve the diverse patient population of Guam and Micronesia. Using visuals and plain language in an easy-to-understand layout, they will be implemented to assist patients dealing with language barriers or conditions inhibiting verbal communication. They include freely available local and online sources such as Medline Plus and HealthReach about Pacific Islander health and other multilingual health information. The clinical tool will be published and distributed to the two hospitals in Guam as well as to the community health centers.