This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/jgs.17069 Luisa, the daughter of an 80-year-old patient in your clinic, calls to ask if you, as his doctor can help her obtain the COVID-19 vaccine for him. Her family has been praying for months for him to receive a vaccine. She tells you her father recently received an email from his health system that included the words "COVID-19," but he could not understand the rest due to his limited English proficiency (LEP). Some of his friends have called the health system to obtain information about scheduling their vaccination appointments, but he is too scared to make the call in English. Luisa, who cares for her children and father while also working full-time since her husband was laid off because of the pandemic, was recently able to log in to the health system patient portal. Her father's link to schedule a COVID-19 vaccination appointment had expired, so she is turning to you for help. The impact of the COVID-19 pandemicover 24 million cases and 400,00 deaths in the United States as of mid-January 2021 1does not affect all groups equally. There are large socioeconomic disparities in outcomes for persons in racial/ethnic minority groups, including Hispanic, African American, and American Indian communities. 2,3,4 Further, older adults face far worse outcomes related to COVID-19, with over 80% of COVID-19 deaths in the United States attributed to patients age 65 or older. 5 One particular population that requires special attention is older adults with Limited English Proficiency (LEP), who often experience the intersections of geriatric syndromes, racial or ethnic minority background, lower socioeconomic status, multiple chronic conditions, need for family caregiver involvement, and cultural, neighborhood, or legal influences that affect access to healthcare. As of 2019, approximately 8.2% of the total United States population and 8.7% of the population age 65 or older have LEP, defined as individuals who identify as speaking English less than "very well." 6 Importantly, persons with LEP have lower rates of health literacy and