Assistive Communication Device Evaluation Form

Streamline AAC Device Evaluations with Professional Digital Forms

For speech-language pathologists working with assistive and augmentative communication (AAC) technology, thorough device evaluations are critical for client success and insurance approval. This Assistive Communication Device Evaluation Form template provides a structured, professional framework for documenting device assessments, from vocabulary customization to eye-tracking accuracy.

Built for Speech Therapy Professionals

Whether you're working in schools, clinics, hospitals, or private practice, this evaluation form helps you capture the detailed information needed for insurance funding documentation while assessing the practical usability of communication devices for your clients. The form covers essential evaluation criteria including device features, client performance, family training requirements, and funding justification.

Comprehensive Device Assessment

This template guides you through evaluating critical AAC device features: vocabulary organization and customization capabilities, eye-tracking or alternative access accuracy, voice output quality, symbol systems, language development support, and device durability. You'll document how well the device meets your client's current and future communication needs.

Insurance Documentation Made Simple

One of the biggest challenges in AAC provision is securing insurance funding. This form is designed to capture the clinical justification and supporting documentation required by insurance companies and funding sources. You can document medical necessity, trialed alternatives, functional communication goals, and expected outcomes—all essential elements for successful funding requests.

With Paperform's calculation fields and conditional logic, you can create dynamic sections that adapt based on the device type being evaluated or the client's specific needs. The form can show or hide questions about eye-tracking for devices with that feature, or display additional sections for pediatric versus adult clients.

Automate Your Clinical Workflow

Connect your evaluation forms to your practice management system using Stepper (stepper.io), Paperform's AI-native workflow automation tool. Automatically generate evaluation reports, create client files, send family training schedules, or trigger insurance pre-authorization requests when an evaluation is submitted. Your clinical documentation can flow seamlessly from assessment to approval without manual data entry.

Need to collect signatures from families or obtain consent for device trials? Papersign (papersign.com) integrates directly with your Paperform submissions, allowing you to send agreements and consent forms for secure electronic signature, keeping everything connected to the original evaluation.

Trusted by Healthcare Professionals

Paperform is SOC 2 Type II certified and GDPR compliant, ensuring your client information is handled with appropriate security measures. While Paperform is not HIPAA compliant, it provides professional-grade security suitable for many healthcare documentation needs. Always consult your organization's compliance requirements.

This template is ideal for speech-language pathologists, assistive technology specialists, special education teams, rehabilitation facilities, and AAC device vendors who need a professional, efficient way to document device evaluations and support funding requests.