Tap AAC

Low-tech AAC: choosing and using boards, books and cards

Low-tech AAC is any communication tool without electronics: picture boards, communication books, picture cards, photos, objects and writing. To start, print one board for one everyday routine, put it where that routine happens, and point to the pictures as you talk. Then wait, and answer any point or look. A paper board is cheap, needs no charging, and is a good backup for a speech app.

Updated October 13, 2026 · 3 sources · 7-minute read

What counts as low-tech AAC

Low-tech (or “light-tech”) AAC is any AAC tool without electronics. Examples are communication boards and books, objects, pictures, photographs, visual schedules and writing.1 The simplest is one page of pictures: a person might touch a picture of a glass to ask for a drink.2

ToolGood forFree to print
Core word boardShort sentences from everyday words, anywhereCore word board
Topic boardThe words for one activity, like a meal or a gameMealtime, playground
Choice boardPicking one thing from two or moreChoice board
Yes and no boardAnswering questions quicklyYes and no board
Visual scheduleSeeing what happens now and nextFirst-then, morning routine
Alphabet boardSpelling words that aren’t on a boardAlphabet board
Communication bookMany pages of words, with tabsMake your own (see below)

Why start with paper

Paper has limits too. The listener has to be looking. Only so many words fit on a page. And the person can’t call you from across the room. That’s why many people use paper alongside a device that speaks, not instead of it.

Three boards to start with

1. A core word board

Core words are small words that work almost anywhere: more, stop, go, help, not. One page of core words lets a person say many different things. Read what a core word board is, or print our core word board.

2. A topic board for one routine

A topic board holds the words for one activity: a bath, a snack, a game. It mixes a few core words with the things in that activity, so it is a good first board for someone who wants to talk about one thing they love. Choosing those words is step 2 of how to make a communication board.

Example bath time topic board with 12 pictures: in, out, more, all done, wash hair, splash, hot, cold, duck, bubbles, towel and help.
A topic board for bath time: a few core words plus the things in the bath. Make one like it with the free board maker.

3. Quick-answer boards

Some moments only need a fast answer. A yes and no board and a choice board with two to four pictures make those moments easier, and they fit in a pocket.

Visual schedules and first-then boards are low-tech AAC too. Picture supports like these can help a person understand, expect and talk about daily routines.1 See how to make a visual schedule.

Making your own

A printed board can be ready today. Start from one of the free printable boards, change its words and pictures in the free AAC board maker, or draw one on card. Our step-by-step guide, how to make a communication board, covers choosing the words, the number of boxes, the layout and the pictures, then printing and laminating it so it lasts.

How to use a board: model, wait, answer

Show the board working before you expect the person to use it. Point to words on the board while you talk, without asking them to copy you. Speech-language pathologists call this modeling, augmented input or aided language stimulation.1 A 2018 review of 48 studies found that interventions with this kind of modeling were generally effective at improving how children and young people with complex communication needs expressed themselves.3

What it can look like at bath time

You: “Duck goes in.” (Point to in, then drop the duck in.)

You: “Uh oh. Duck is out!” (Lift it out and point to out.)

(Hold the duck up. Look at the child. Wait.)

The child touches in. You: “In! Duck goes in.” (Splash it in.)

The one-page AAC modeling at home handout has these habits on a sheet for the fridge, and how to teach a child to use AAC goes through them in depth.

If the person can’t point

Partner-assisted scanning lets someone choose without pointing. You point to or read out the choices one at a time, and the person makes an agreed signal, such as a nod, a blink or a sound, when you reach the one they want. It can also be used when the person’s usual AAC isn’t available or isn’t working.1

  1. Agree on one clear yes signal, and practice it with easy questions first.
  2. Go in the same order every time, for example row by row, top to bottom.
  3. Say each choice as you point, at an even pace, and wait at each one.
  4. Read back what they chose, and check it with yes or no.

The spelling steps on our hospital communication board show how to spell with an alphabet board this way. For people who choose with their eyes, the eye gaze board page goes step by step.

When one page isn’t enough: communication books

As the person learns more words, one board gets crowded. A communication book holds several pages: a page of core words at the front, then pages for topics such as food, people, places, feelings and school. A few tips:

Paper and high-tech together

Low-tech and high-tech AAC aren’t rivals. A person may use one form of AAC or combine unaided, low-tech and high-tech AAC.1 If the person has a speech app, make the paper boards match it where you can: the same pictures and words, in the same places. Then a word learned on paper is easy to find on the tablet, and the other way round. Every free board on this site also comes as a board file for the Tap AAC app; see how to add a free board to Tap AAC.

Try this today

  • Pick one routine and print or make one board for it.
  • Point to a word on it at least three times during that routine.
  • After each model, count to ten in your head before you say more.
  • Put a second copy where the person spends the most time.

All AAC guides

Sources

We read each of these on October 12, 2026. Numbers in the text point to them.

  1. American Speech-Language-Hearing Association. Augmentative and Alternative Communication (Practice Portal). Professional guidance for speech-language pathologists. Accessed October 12, 2026.
  2. National Institute on Deafness and Other Communication Disorders (NIH). Assistive Devices for People with Hearing, Voice, Speech, or Language Disorders. Last updated November 12, 2019.
  3. Biggs EE, Carter EW, Gilson CB (2018). Systematic Review of Interventions Involving Aided AAC Modeling for Children With Complex Communication Needs. American Journal on Intellectual and Developmental Disabilities, 123(5), 443–473. Abstract on PubMed.

These guides are general information, not medical, therapy or legal advice, and they don’t replace a speech-language pathologist who knows the person. The example boards and pictures are free to print and share under our terms of use. Spotted a mistake, or have a question? Email support@lmnoplabs.fun.