AAC Device Trial Log

Log devices, access methods, feature matching, and patient performance during an AAC evaluation to support a device acquisition recommendation.

Evaluation Context

• Evaluation Date
• Patient Initials
  Use initials instead of full name when possible to minimize PII.
• Patient Age Group
• Evaluation Setting
• Referral / Communication Need
  Briefly describe the communication need being addressed. Avoid unnecessary clinical detail.
• Consent to Document Evaluation Details
  Confirm that appropriate consent or authorization has been obtained for documenting evaluation details, including any PII collected.

Baseline Communication Profile

• Current Communication Methods
• Primary Communication Goals
• Motor / Access Limitations
• Baseline Notes
  Summarize relevant baseline communication strengths, barriers, and supports.

Device and Access Trials

• Trial Summary
  Add one entry for each device or access method trialed.
• Device / System Trialed
• Access Method
• Feature Match
• Performance Rating
• Trial Observations
  Document accuracy, speed, prompting level, fatigue, and any barriers observed during the trial.

Outcome and Recommendation

• Preferred AAC System
• Recommended Access Method
• Recommendation Rationale
  Explain how the recommended system and access method match the patient's needs, performance, and feature requirements.
• Additional Supports Needed
• Clinician Name
  Enter the clinician completing the evaluation record.