Vital Document Portal All Vital Documents should be discussed with the patient in their preferred language using interpretation services. Vital Documents are forms that provide critical information to patients communicated in their preferred language. Vital Documents are used to ensure effective communication with patients whose primary language is not English. Patient Document Portal This site provides information to patients communicated in their preferred language. Translation is available to ensure effective communication with patients whose primary language is not English. Nuvance Policy: Only applicable to Nuvance All Vital Documents should be discussed with the patient in their preferred language using interpretation services. Vital Documents are forms that provide critical information to patients communicated in their preferred language. Vital Documents are used to ensure effective communication with patients whose primary language is not English.