This communication aid is usually in the form of a card that has been tailor made for the participant by a speech pathologist. They may list just a few words or may have a combination of letters, numbers and commonly used words and phrases.

The instructions for the positioning and the use of the communication board are usually somewhere on the board. A participant may point to a letter or word using a finger, toe or head pointer. Where a participant has very limited physical skills, some assistance may be required to position the board where it can be seen by the person and you may need to point to parts of the board until the participant indicates a 'yes'. This process can take some time but it is important to be patient to allow the participant the right to communicate. In the Appendix of this resource guide you can find an example of a communication board.