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For such an important decision, face-to-face assessments should occur by default. The assessing professional must visit the patient, ensuring that the patient is comfortable and has all their personal needs met before embarking on any type of interview to hear from them. If speech is lost, a prior recording could be made and played in the presence of the person, with the professional watching for non-verbal cues to confirm, or otherwise, the veracity of the recording and to detect any coercive influences.