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Your clients may be able to understand spoken English (if it is their second language), but are you 100% certain that they fully understand everything contained in a written Medical Report or Witness Statement?
If the answer is no, then you are not acting in the best interests of your client.
Can you afford to take the potential risk of your clients taking to the witness stand, with the knowledge that they may not have fully understood the written documentation that they are about to be questioned on?
Again, if the answer is no, then in order to act in the best interests of your clients, you should always have the relevant documentation translated prior to the issue of any legal proceedings.