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Medical Interpreters for Hospitals and Clinics — Pashto, Dari, and 22 More Afghan Languages

Ariana Nexus provides trained Pashto and Dari medical interpreters to hospitals and clinics, on site, by video, and by phone, across all 24 Afghan languages. Every interpreter is matched to the patient's language, dialect, region, and gender, holds a college degree, and for clinical assignments holds a degree close to medicine.

Request interpreters
  • 24
    Afghan languages, Pashto and Dari first
  • 3
    ways to work: on site, video remote, over the phone
  • 5
    matching dimensions: language, dialect, region, gender, clinical background
  • 1
    firm, in-house, from Washington, D.C. — no subcontractors

Where the national line fails an Afghan patient

Most hospital language programs cover Spanish in depth and route everything else to a national phone or video line. For an Afghan patient that line often returns an Iranian Persian speaker for a Dari request, a male interpreter for a woman in labor, or a bilingual with no medical training. The encounter is recorded as complete.

Afghan patients rarely complain, fill in a survey, or send an email. They say everything is fine, and they do not come back. The service on this page closes that gap with interpreters who are matched to the patient and trained for the clinic.

Five things we match before an interpreter is sent

A bilingual employee can speak the language. A medical interpreter has to carry a diagnosis, a consent conversation, and a discharge instruction across two languages without adding or dropping anything, in the dialect the patient actually speaks. We match on five dimensions.

  • Language

    All 24 Afghan languages. A Dari request is answered by an Afghan Dari speaker, never by Iranian Persian presented as Dari.
  • Dialect

    Pashto: Central, Kandahari, Eastern, and Southeastern. Dari: Kabuli, Herati, Mazari, Badakhshi, and Hazaragi, which we staff separately.
  • Region

    A patient from Herat and a patient from Kandahar do not speak alike. Where it changes the encounter, we match the city or province.
  • Gender

    Female interpreters for women's health and behavioral health whenever the patient or the care team asks; the requested gender is honored in every setting.
  • Clinical background

    Every interpreter holds a college degree. For clinical encounters we assign interpreters whose degree sits close to medicine, so terminology is understood, not just repeated.

Every interpreter has completed formal medical interpreter training and HIPAA training, and works to the National Council on Interpreting in Health Care code of ethics. We will not send you a bilingual.

What is included

  • On-site medical interpreting

    Scheduled appointments, inpatient rounds, procedures, consent conversations, and family meetings. Washington, D.C., Maryland, and Virginia, and other cities by arrangement.
  • Video remote interpreting (VRI)

    On demand for Pashto and Dari, scheduled for the other languages, on your existing VRI cart or telehealth platform.
  • Over-the-phone interpreting (OPI)

    Triage, scheduling, pharmacy counseling, results calls, and after-hours coverage.
  • Encounter documentation

    Interpreter, language, dialect, modality, and duration logged for every encounter, so your Section 1557 file writes itself.
  • Written patient materials

    After-visit summaries, discharge instructions, consent forms, and patient-education sheets in Afghan Dari and Pashto, with certified English back-translation.
  • Care-team briefing

    A short orientation for clinicians and front-desk staff when a program starts: names, families, gender, and what an Afghan patient will not say unprompted.

Who this is for

Hospitals and clinics use Ariana Nexus where Afghan patients are part of the population they serve: as a scheduled bench for high-volume sites, or as the Afghan-language line behind an existing national vendor.

  • Hospitals and health systems

    Emergency, inpatient, surgical, and outpatient services.
  • Community health centers and FQHCs

    Primary care, prenatal care, and chronic-disease follow-up.
  • Labor and delivery and women's health

    Female interpreters available for every encounter.
  • Behavioral health programs

    Interpreters briefed on how Afghan patients talk, and do not talk, about mental health.
  • Oncology, dialysis, and long courses of care

    The same interpreter across visits wherever the schedule allows.
  • Pediatrics and family medicine

    Interpreters comfortable working with a parent and a child in the same room.
  • Telehealth and digital health

    Video interpreting inside your existing virtual-visit platform.
  • Refugee health screening and resettlement clinics

    Initial screenings, vaccinations, and referrals for newly arrived families.

The 24 Afghan languages

Pashto and Dari first, then 22 more. Hazaragi is counted among the 24 as a variety of Dari that we staff separately, because a Hazara patient from Bamyan and a Kabuli Dari speaker do not always understand each other in a clinical conversation.

Iranian

13
  • Pashto
    پښتو
  • Dari
    دری
  • Hazaragi (a variety of Dari)
    هزارگی
  • Balochi
    بلوچی
  • Aimaq
    ایماق
  • Ormuri
    اورموړی
  • Parachi
    پراچی
  • Wakhi
    وخی
  • Shughni
    شغنی
  • Sanglechi
    سنگلیچی
  • Ishkashimi
    اشکاشمی
  • Munji
    مونجی
  • Yidgha
    یدغه

Turkic

3
  • Uzbeki
    اوزبیکی
  • Turkmeni
    ترکمنی
  • Kyrgyz
    قرغیزی

Indo-Aryan

3
  • Pashayi
    پشه‌یی
  • Gawarbati
    گواربتی
  • Tirahi
    تیراهی

Nuristani

4
  • Nuristani (Ashkun group)
    نورستانی
  • Kati
    کتی
  • Prasun
    پرسون
  • Waigali
    ویگلی

Dravidian

1
  • Brahui
    براهویی
Availability applies to video and phone. On-site interpreting is scheduled for every language. Names are given in Afghan Perso-Arabic script. Several of these languages are spoken, not written.

Why Ariana Nexus

Where no certification exists, we set the standard.

No U.S. certification body offers a language-specific medical interpreter credential in Pashto, Dari, or any other Afghan language. Ariana Nexus fills that gap. We train and assess Afghan-language medical interpreters against our own standard: formal medical interpreter training, HIPAA training, the NCIHC code of ethics, and dialect review by our Cultural Compliance Bureau. Our own bench works to it, and so do the interpreters we train for other organizations.

Interpreters are one part of a program, not a line item. Six things a hospital gets here that a national vendor line does not.

  • Interpreters, not bilinguals

    Formal medical interpreter training, HIPAA training, the NCIHC code of ethics, and a college degree behind every interpreter.
  • Afghan Dari, matched dialect

    A Dari request is answered by an Afghan Dari speaker. A Kandahari patient hears Kandahari Pashto.
  • Gender, honored

    A female interpreter for a woman in labor or in a behavioral health visit, on request and without a wait for an exception.
  • Led by scholars, run from Washington, D.C.

    A firm from the Afghan community led by alumni of Cornell, Brown, the University of Chicago, and the University of British Columbia.
  • One firm, one point of accountability

    No subcontractors, no brokered interpreters, no offshore call center. No operations in Afghanistan, and nothing routed through channels controlled by the authorities there.
  • Beyond the encounter

    Afghan-language patient materials, care-team briefings, integrative mental health programs, telehealth localization, and Section 1557 advisory from the same team.

How we deliver

One request, one interpreter, one record. The same four steps for a scheduled visit and an emergency.

  1. 1

    Request

    Through your language services desk, the request form, or the interpreter line. Tell us the language, the setting, and any dialect or gender requirement.
  2. 2

    Match

    We assign from our own bench, not a marketplace: language, dialect, region, gender, and clinical background, and we keep the same interpreter across a patient's course of care wherever the schedule allows.
  3. 3

    Encounter

    On site, on your video cart, or by phone. The interpreter transmits everything said, completely and accurately, and flags cultural context to the clinician when it changes the clinical picture.
  4. 4

    Record

    An encounter log for your Section 1557 file, a quality review on every new interpreter's first assignments, and one accountable contact at the firm.

Standards this service is built to

Instrument
What it requires
What we provide
Section 1557 of the Affordable Care Act, 45 CFR Part 92
What it requires
Meaningful access for patients with limited English proficiency through qualified interpreters, and notices of available language assistance.
What we provide
Interpreters who meet the Part 92 definition of a qualified interpreter; an encounter log for your compliance file; Pashto and Dari notice text on request.
Title VI of the Civil Rights Act of 1964
What it requires
Language assistance from any provider receiving federal funds, including Medicare and Medicaid participation.
What we provide
Coverage for the Afghan languages your current vendor cannot fill, with each encounter documented.
HIPAA Privacy and Security Rules
What it requires
Business associate obligations for anyone who handles protected health information.
What we provide
A Business Associate Agreement signed before the first encounter; interpreters trained on the Privacy Rule; no patient information retained outside your systems.
The Joint Commission (RI.01.01.03, PC.02.01.21) and CMS Conditions of Participation, 42 CFR § 482.13
What it requires
Effective communication, and the patient's right to understand care, consent, and discharge.
What we provide
Interpreters present for consent, procedures, and discharge, and a record a surveyor can read.
National CLAS Standards 5–8 and the NCIHC National Code of Ethics
What it requires
Competent language assistance; accuracy, confidentiality, and impartiality in practice.
What we provide
Every interpreter works to the NCIHC code; a quality review on each new interpreter's first assignments.

Why trained interpreters, in numbers

Errors with potential clinical consequence, by who interpreted

  • Professional interpreters with 100+ hours of training
    2%
  • Professional interpreters, all
    12%
  • No interpreter
    20%
  • Ad hoc interpreters (family, bilingual staff)
    22%
Source: Flores G, Abreu M, Barone CP, Bachur R, Lin H. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Annals of Emergency Medicine. 2012;60(5):545–553.
14.9%
against
24.3%
30-day readmission for patients with limited English proficiency who had a professional interpreter at both admission and discharge, against those who had neither.
Source: Lindholm M, Hargraves JL, Ferguson WJ, Reed G. Professional language interpretation and inpatient length of stay and readmission rates. Journal of General Internal Medicine. 2012;27(10):1294–1299.

The team behind this service

The healthcare practice is run by public health and psychology graduates from the Afghan community, not by a staffing desk. They set the matching standard, review every new interpreter, and take the call when something goes wrong.

  • Tamana Ghaznawi

    Director, Healthcare Systems
    B.S. Cornell University
    M.P.H. Cornell University
  • Shukria Sakhi

    Partner, Advisory
    B.S. Brown University
    M.P.H. Brown University
  • Diana Ayubi

    Principal, Mental Health Programs
    B.A. Cornell University
    Psy.D. West Chester University
Reviewed by Tamana Ghaznawi, Director, Healthcare Systems. Last updated September 14, 2026.

Questions hospitals ask

Are your Pashto and Dari medical interpreters certified?

What is the difference between Dari and Farsi, and can a Farsi interpreter interpret for an Afghan patient?

Can we request a female interpreter?

Do you provide video remote and over-the-phone interpreting?

Which Afghan languages do you cover?

Where do you provide on-site interpreters?

Do you sign a Business Associate Agreement?

How do you document encounters for Section 1557?

Do you subcontract interpreters?

How is the service priced?

Do you train Afghan-language medical interpreters?

Request Pashto and Dari medical interpreters

Tell us the language, the setting, and when you need it. An NDA and a Business Associate Agreement are signed before any patient information is shared.

Request interpreters
Rate sheet on request · (202) 771-0224