Communication Board Guide for Beginners

Jason Holloway · on 24 July 2026 · 9 min read · Last reviewed 24 July 2026

A communication board is a visual aid that uses symbols, pictures, or text to help individuals express their needs, wants, and thoughts, often as part of assistive speech software systems.

LABEL: In plain terms, think of a communication board as a visual menu of words and phrases that someone can point to or use with their eyes to communicate.

Communication boards are widely used in augmentative and alternative communication (AAC) systems.
They can be physical boards or digital interfaces, such as apps or software.
According to the American Speech-Language-Hearing Association, AAC systems like communication boards can significantly improve the quality of life for individuals with communication difficulties.
Communication boards are used in various settings, including hospitals, schools, and homes.

What is a communication board?

A communication board is a tool designed to facilitate communication for individuals who have difficulty speaking or are non-verbal.

LABEL: Here is the gist: It's a structured grid of symbols, pictures, or words that users can select to convey messages.

Communication boards can be low-tech, such as printed boards, or high-tech, like digital tablets with speech-generating capabilities.
They are commonly used by individuals with conditions like autism, aphasia, or those recovering from strokes.
The design and complexity of communication boards vary based on the user's needs and cognitive abilities.

What is a communication board for intubated patients?

A communication board for intubated patients is a specialized tool designed to help patients who are unable to speak due to intubation.

LABEL: Put simply, it's a lifeline for patients who need to communicate essential needs and feelings despite being unable to speak.

These boards typically include symbols for basic needs like pain, thirst, and the need to use the restroom.
They are often used in intensive care units (ICUs) and emergency rooms.
According to the National Institutes of Health, effective communication can reduce anxiety and improve patient outcomes.

What is the AAC communication board for autism?

The AAC communication board for autism is designed to support individuals with autism spectrum disorder (ASD) who have difficulty with verbal communication.

LABEL: The short version: It provides a structured way for individuals with ASD to express themselves using visual symbols and text.

These boards often include symbols for emotions, needs, and common phrases.
They can be tailored to the individual's specific communication needs and cognitive level.
Research from the Autism Society shows that AAC can improve social interactions and reduce frustration for individuals with ASD.

How to build a communication board?

To build a communication board, start by identifying the core vocabulary and symbols that the user needs.

LABEL: At its core, building a communication board involves creating a personalized tool that meets the user's specific communication needs.

Begin with basic needs like food, drink, pain, and restroom.
Use clear, universally understood symbols or pictures.
Consider the user's cognitive abilities and tailor the board accordingly.

Communication board for adults

A communication board for adults is designed to meet the specific communication needs of adult users.

LABEL: In plain terms, it's a tool that helps adults with speech difficulties express themselves effectively.

These boards often include symbols for medical needs, social interactions, and daily activities.
They can be used in various settings, including hospitals, nursing homes, and home care.
According to the National Institute on Deafness and Other Communication Disorders, AAC systems can greatly enhance the independence and quality of life for adults with communication disabilities.

Communication board PDF

A communication board PDF is a digital version of a communication board that can be printed or used on a digital device.

LABEL: Here is the gist: It's a versatile tool that can be easily customized and shared.

PDFs are convenient for printing and distributing communication boards.
They can be found on various websites and can be customized to meet specific needs.
Many organizations offer free printable communication board PDFs.

Communication board medical

A communication board medical is designed for use in medical settings to help patients communicate their needs to healthcare providers.

LABEL: Put simply, it's a crucial tool in hospitals and clinics to ensure effective communication between patients and medical staff.

These boards often include symbols for pain levels, medical procedures, and basic needs.
They are used in hospitals, clinics, and emergency rooms.
According to the World Health Organization, effective communication is essential for patient safety and quality care.

Communication Board autism PDF

A communication board autism PDF is a digital version of a communication board specifically designed for individuals with autism spectrum disorder (ASD).

LABEL: The short version: It's a tailored tool that helps individuals with ASD express themselves using visual symbols and text.

These PDFs can be printed or used on digital devices.
They often include symbols for emotions, needs, and common phrases.
Many organizations offer free printable communication board autism PDFs.

Communication board printable

A communication board printable is a digital template that can be printed and used as a physical communication board.

LABEL: At its core, it's a convenient way to create a physical communication tool at home or in a clinical setting.

Printable communication boards can be found on various websites and can be customized to meet specific needs.
They are often used in schools, hospitals, and homes.
Many organizations offer free printable communication board templates.

Communication board free

A communication board free is a cost-free resource that provides templates and tools for creating communication boards.

LABEL: In plain terms, it's a valuable resource for individuals and organizations looking to create communication boards without incurring costs.

Free communication board resources can be found on various websites and organizations.
They often include printable templates and digital tools.
Many non-profit organizations offer free communication board resources.

Free printable communication board for adults

A free printable communication board for adults is a digital template that can be printed and used as a physical communication board for adult users.

LABEL: Here is the gist: It's a cost-effective way to create a tailored communication tool for adults with speech difficulties.

These printable boards can be found on various websites and organizations.
They often include symbols for medical needs, social interactions, and daily activities.
Many non-profit organizations offer free printable communication board templates for adults.

Is a communication board right for me?

To determine if a communication board is right for you, consider your communication needs and the effectiveness of current communication methods.

LABEL: The bottom line: It's a tool that can significantly improve communication for individuals with speech difficulties.

Communication boards are effective for individuals with various communication challenges, including autism, aphasia, and stroke recovery.
They can be tailored to meet specific needs and cognitive abilities.
Consulting with a speech-language pathologist can help determine if a communication board is the right choice.

Pros and Cons of Communication Boards

Communication boards offer several advantages and some potential drawbacks.

LABEL: In plain terms, they are a valuable tool with both benefits and limitations.

Pros

Improved communication for individuals with speech difficulties.
Increased independence and quality of life.
Customizable to meet specific needs.
Cost-effective, especially with free printable resources.

Cons

May require initial setup and customization.
Limited by the user's cognitive abilities and motor skills.
May not be suitable for all communication needs.

How to Choose the Right Communication Board

To choose the right communication board, consider the user's specific needs, cognitive abilities, and the setting in which it will be used.

LABEL: The short version: It's about finding the right tool that meets the user's unique communication requirements.

Key considerations

Identify the core vocabulary and symbols needed.
Consider the user's cognitive abilities and motor skills.
Choose between low-tech and high-tech options based on the user's needs.
Consult with a speech-language pathologist for personalized recommendations.

Communication Board Resources

There are numerous resources available for creating and using communication boards.

LABEL: At its core, these resources provide the tools and information needed to effectively use communication boards.

Key resources

American Speech-Language-Hearing Association: Offers guidelines and resources for AAC systems.
Autism Society: Provides information and resources for communication boards for individuals with ASD.
National Institute on Deafness and Other Communication Disorders: Offers research and resources on communication disabilities.
World Health Organization: Provides guidelines for effective communication in medical settings.

Resource	Description	Link
American Speech-Language-Hearing Association	Guidelines and resources for AAC systems.	https://www.asha.org/
Autism Society	Information and resources for communication boards for individuals with ASD.	https://autismsociety.org/
National Institute on Deafness and Other Communication Disorders	Research and resources on communication disabilities.	https://www.nidcd.nih.gov/
World Health Organization	Guidelines for effective communication in medical settings.	https://www.who.int/

Communication Board Examples

Here are some examples of communication boards and their specific uses.

LABEL: In plain terms, these examples illustrate the versatility and effectiveness of communication boards in various settings.

Example 1: Hospital Communication Board

Used in hospitals to help patients communicate their needs to healthcare providers.
Includes symbols for pain levels, medical procedures, and basic needs.
Often found in ICUs and emergency rooms.

Example 2: Autism Communication Board

Designed for individuals with autism spectrum disorder (ASD).
Includes symbols for emotions, needs, and common phrases.
Used in schools, homes, and therapy sessions.

Example 3: Stroke Recovery Communication Board

Used by individuals recovering from strokes who have difficulty speaking.
Includes symbols for basic needs, emotions, and common phrases.
Used in rehabilitation centers and homes.

Tips for Using Communication Boards

Here are some tips for effectively using communication boards.

LABEL: The bottom line: Effective use of communication boards can significantly improve communication and quality of life.

Key tips

Ensure the board is tailored to the user's specific needs and cognitive abilities.
Use clear, universally understood symbols or pictures.
Practice using the board regularly to become familiar with its layout and symbols.
Consult with a speech-language pathologist for personalized recommendations and training.

Tip	Description
Tailor the Board	Ensure the board meets the user's specific needs and cognitive abilities.
Use Clear Symbols	Use universally understood symbols or pictures.
Practice Regularly	Practice using the board regularly to become familiar with its layout and symbols.
Consult a Professional	Consult with a speech-language pathologist for personalized recommendations and training.

In my experience, communication boards are a powerful tool that can transform the lives of individuals with speech difficulties. By providing a structured way to express needs, wants, and thoughts, they open up new avenues for communication and independence.

Frequently asked questions

How to get an AAC device for free?

Contact your local school district or early intervention program. Many offer free AAC devices for students with communication needs. Medicaid or other insurance plans may also cover costs. Nonprofits like the Communication Fund provide grants for low-income families.

What is the most popular AAC app?

Proloquo2Go dominates the market. It offers customizable boards, natural-sounding text-to-speech, and a user-friendly interface. Other strong contenders include TouchChat and LAMP Words for Life, but Proloquo2Go leads in downloads and user reviews.

How much does an AAC device cost?

Prices vary widely. Basic apps cost $50-$300. Dedicated speech-generating devices range from $1,000 to over $10,000. Insurance or school programs may cover these costs. Always check funding options before purchasing.

What is the speech assist app for free?

Speech Assistant AAC offers a free version with essential features. It includes pre-programmed phrases, word prediction, and text-to-speech. The full version costs $15 but adds customization options. Other free alternatives include Predictable and SpeakIt.