Mechanical Button Square Pad Big Button Pillow Microlight Trigger Switch Plate Switch Switch Joystick with Push Cap Switch Mini Joystick Cup Switch SCATIR Mini Cup Other: ACCESS ACCESSORY Extra Charger Eye Gaze Camera:____________________ Head Mouse Keyguard/guide:______________________ Tracker Other: Headpointer MOUNTING AND PORTABILITY Switch mount:_______________________ SGD Mount:________________________ Tubing size:________________________” Tubing Size:________________________” Other mounting placement:____________ Other mounting placement:____________ Mount Brand:_______________________ Mount Brand:_______________________ Standard Carrying Care Accessible Carrying Case Durable Carrying Case Treatment Plan and Follow Up
Mechanical Button Big Button Microlight Plate Switch Cap Switch Cup Switch Mini Cup Square Pad Pillow Trigger Switch Switch Joystick with Push Mini Joystick SCATIR Other: ACCESS ACCESSORY Extra Charger Head Mouse Tracker Headpointer Eye Gaze Camera:____________________ Keyguard/guide:______________________ Other: MOUNTING AND PORTABILITY Switch mount:_______________________ Tubing size:________________________” Other mounting placement:____________ Mount Brand:_______________________ SGD Mount:________________________ Tubing Size:________________________” Other mounting placement:____________ Mount Brand:_______________________ Standard Carrying Care Accessible Carrying Case Durable Carrying Case Treatment Plan and Follow Up
ADULT-AAC-Eval-Protocol-1.docx