Our large size, printable communication boards are ready to print with easy-to-view pictures to help adults who have aphasia, stroke, dementia, brain injury or cerebral palsy express their care needs. 

NEW Printable Option - Saves time and shipping cost, can be viewed on your mobile tablet!

Picture-based communication boards help adults with speech and cognitive challenges communicate their care needs and feelings with caregivers, family, health care and hospice professionals. Bigger pages and bigger pictures make it easier for adults with visual and fine motor challenges to use. 

This updated digital version of our Big Picture Caregiving Communication book includes 30 printable communication boards that take the guesswork out of understanding the needs of someone who cannot talk. This no-wait digital option offers all full page boards in digital PDF format available to print out and use immediately, saving you the delay and expense of shipping. You can also view these PDF pages on your mobile device, tablet is recommended for a larger size.

Our Big Picture Caregiving Communication boards were designed specifically to help adults with speech loss discuss their personal care needs. The set includes 30 pre-made choice boards that are large format 8.5" x 11" with more than 350 2" adult-appropriate picture symbols. Essential core vocabulary is also included on each page to expand the user's meaning. A blank template is included so you can customize the board for favorite people, foods and activities.

Purchase this digital PDF file and download all the pre-made pages to your computer. Print out the colorful PDFs on white card stock or heavy weight paper at home to use immediately. Select the picture boards you need to communicate about personal care, visitors, activities and mealtime needs. Instruction sheet on how to introduce and use our picture communication book with adults is included. These boards can also be viewed on your mobile device. A a tablet device is recommended for its larger screen size. Note this digital version is for viewing only and does not "speak" like an AAC app.

Contents:  30 topical communication boards

Comments/Social - comments, WH questions and more, feelings, weather

Activities - indoor activities, outdoor activities, places to go, visitors, music

Personal Care - personal care, oral care, bathing, women's grooming, men's grooming, dressing, clothing, body pain, medications, sleeping, assistive devices

Mealtime - eating needs, hot drinks, cold drinks, snacks, breakfast, lunch

Click to see more sample pages 

To use, find the download link included in your order confirmation email. Download the PDF file to your computer, open it using a free PDF reader and print out the boards onto heavy paper or card stock. Each board fits onto a standard US 8.5" x 11" sheet.

Three ways to use:

1. Print and laminate each page and use them individually.

2. Print out each page, store them in standard no glare, plastic page protectors (available on Amazon or any office supply store) and organize them in a standard 3-ring binder.

3. View the PDF file on your iPad or tablet.

Select your usage options above: Individual, single user or Professional, multi-client user 

Family caregivers can use the single user option with their loved one. For professionals who work with multiple clients, please choose the multi-user option. Please contact us for multi-site usage, rsargent(at)sayitwithsymbols.com.

Also available in printed format: Big Picture Caregiving Communication Book

IMPORTANT NOTE: You will receive an order confirmation email with a link to download the file. You must SAVE the PDF file to your computer, tablet or Cloud storage for future use. Opening on your phone is limited to 2 downloads and is view-only mode.