Assistive Technology Trial Request Form

Please complete this form if you are interested in trialing an assistive technology device. Loan duration varies by device type. 

AAC Programs Available (6 week trial)

• iPad with TD Snap

• iPad with Proloquo2Go

• iPad with LAMP Words for Life

• iPad with TouchChat with Word Power

Switch Activated Items (2 week trial)

• jelly button

• jelly button mount

• recordable button

• switch-activated disco ball

• switch-activated frog bubble toy

Tech for Independent Living (2 week trial)

• AT Cooking Kit, which includes:

  • • rocking knife with silicone handle

    • rounded cutting board

    • plastic knife set with veggie peeler

    • steel finger guard

    • yellow one-finger safety cutter

    • anti-cutting gloves

    • heat resistant silicone gloves

    • folding pan holder

    • pot stabilizer for one-handed stirring

    • rainbow fraction measuring cups

    • rechargeable can opener

    • pasta pot with strainer lid

    • extra long wooden spoons

    • recipes