This document provides tips for communicating effectively with deaf or hard of hearing individuals. It suggests attracting their attention before speaking, ensuring your face is visible, keeping distractions minimized, maintaining an appropriate distance, and positioning yourself in well-lit areas. When speaking, it advises making eye contact, speaking clearly at a moderate pace, avoiding covering your mouth, and writing things down if needed. It also notes that lipreading is difficult and concentration intensive, so short breaks may be required.