AAC app for adults
A communication aid that speaks out loud, and the care around it.
AAC means augmentative and alternative communication: every way a person communicates besides speech. ExpressAgain is an AAC app for adults who can think, read and choose but cannot rely on speech. Tap a phrase, spell it on the Letters board or build a message, and the app says it out loud, in the patient's own cloned voice when one is set. Then it goes further than AAC: the same account runs the care plan, the circle, the Care Team and the professionals in the home.
Assistive communication
Recognize and select, instead of generating from scratch.
Augmentative and alternative communication covers pointing, writing, a board of pictures or words, and an app that speaks. ExpressAgain is the last kind, built for adults: a communication board of ready phrases written for an adult life, an alphabet board for the words no library knows, and a voice that says them out loud for the people in the room.
In aphasia, after a stroke, a brain injury or a breathing tube, reading and understanding are often preserved while speaking, writing and typing are not. So instead of asking a person to produce language, ExpressAgain lets them find the right words in a clear, organized library and speaks those words. Less exhausting, more dignified, and built for how the mind works when speech fails.
Communication board, speech generating, in plain words
What the Communicate side does today.
Every line below is written from the app as it is. The Help Center's Speaking articles describe each one in full.
- Tap any phrase to speak it
- The Communicate page is the workspace. Speak shows the current selection, Quick Speak tiles for the things needed most often, Build a message, Recent and saved, and Common right now. One tap and the phrase is spoken out loud, on Communicate, in the library and in search.
- Letters: an alphabet board that speaks
- Letters is an on-screen alphabet board. The person spells a word or a sentence letter by letter, the board speaks it, and Share sends it in one go as the patient's note to family and friends and to the IDC team. Type lets a family member type anything and have it spoken.
- A communication board of hundreds of ready phrases
- The Phrase Library sorts phrases by real situations: Basic Needs, Saying No, Feelings, Family & Visitors, Faith & Comfort, Medical Questions, About My Aphasia, Legal & Money and more. Star a category, pin a phrase, and the urgent ones sit together.
- Build a message piece by piece
- Starters like I am, What about and Let's open long lists of the real things a person in this situation wants to say. Tap the finished message to speak it, save it for later or star it.
- The patient's own words
- A group named after the patient, for example Debbie's words, holds the names, places and shows no ready-made library could know. The family and the speech therapist add to it, and it comes first in the Phrase Library and on Communicate in every mode.
- Speech generating: a voice from the first tap
- The app speaks in the browser's built-in voice at once. Natural voices come with a signed-in account, and a short recording in Settings becomes the patient's own cloned voice, so I love you sounds like the patient, not a machine. Speed, pitch and volume adjust.
- No timer, no rush, fewer choices on calmer days
- A 3 at a time switch shows a few choices instead of everything. The app waits as long as it takes. Text and button sizes turn up in Settings, and it runs in the web browser on a phone, tablet or computer, with nothing to install.
- Medical Words and Practice Out Loud
- Medical Words explains hospital words in plain language, with tap-to-speak questions to ask the team. Practice Out Loud is hear it, record a try, hear it back, with no grading ever; the exercises a therapist assigns appear there as encouragement.
Read the Speaking and communicating articles in the Help Center
Beyond AAC
Beyond AAC: the care around the patient, in the same account.
An AAC app gives a person a voice. ExpressAgain also gives the family one place to run everything else, and gives every party around the patient the same record.
- The care plan
- The Home Care Team Plan puts the 25 sections of a home care plan on one page, filled from what the family already keeps in the app: the day plan, the Status Board, Health Tracking, Prescriptions and every dose, Appointments, the Schedule and the Emergency Plan Card. Every feature, for every party
- The circle
- Family and friends each get an account with a role that decides what they see. They share photos, audio clips and short videos in the family feed, send notes and voice messages to the Love Bucket, and the patient answers with a tap. For families
- The Care Team
- Doctors, nurses and therapists join with a per-discipline code and share one clinical picture on the care-team dashboard. Every discipline reads the day; a speech therapist adds words to the patient's library and assigns practice between sessions. For clinicians
- The Home Team
- The professionals who help in the home, from aides and CNAs to LPNs and RNs on shifts, each have one profile: the Getting started checklist, credentials, agreements, shifts, clock-in, invoices and pay, with the family on the other side of every step. For independent professionals
- The Marketplace
- Families search real professionals by the kind of care, the clinician type and a ZIP code, with names masked, or post an open care request that professionals answer. Agencies answer a de-identified request with quotes that come back side by side. The home care Marketplace
All in one platform
Everything around the patient, in one place.
ExpressAgain is one platform that gives a person with aphasia, or anyone who can't speak, their voice back. It also gives their family one place to run everything else: the care plan, the doctors and therapists, the professionals in the home, medications, vitals, the schedule, the kitchen and supplies, the bills and papers, and a real answer to “Am I getting better?”
Speak & Communicate
Tap to speak, build a sentence, hundreds of ready phrases, in the patient's own voice.
Family & Friends Engagement
Invite the circle, share photos and videos, plan visits and call with one tap.
Schedule & Visits
One calendar for therapy, appointments, care shifts and visits, with a booking link.
Care Plan
The Home Care Team Plan, run by the family or an agency the family chooses.
IDC Care Team
Doctors, nurses and therapists in one feed, with alerts against the family's own targets.
Home Care Team
Hire or bring your own professionals: checklists, clock-in, invoices and pay.
Health Tracking
Vitals, blood sugar, weight, symptoms with photos, medications and every dose.
Meal Tracking
What the patient can eat, the kitchen, the grocery list, the meal log and eating out.
Patient Outcomes
Am I getting better? Progress over time, for the family and the care team.
Papers & Money
Bills, insurance cards, important papers and the emergency card, in one place.
Safety & Privacy
Invitation only, each person sees only what their role needs, and SOS on every screen.
One team, one plan
Built for the interdisciplinary care team
ExpressAgain is an integrated patient care, communication, and care management platform built for people who can think, read and remember clearly but struggle to speak, as well as people who can speak for themselves but have no safe, trusted way to show whether the care they're receiving is the care they're owed.
As an all-in-one platform, it brings patients together with the families, caregivers, nurses, therapists, physicians and agencies who care for them, so everyone works from one plan, one schedule and one shared record, from the hospital to home.
The same day, the same medications, the same notes, and the same record of who did what and when.
The patient is in the middle, and six kinds of people care for that one person. Every arrow runs between a box and the patient, and the ring runs through all six:
- Families: the daughter, the siblings, the friends who show up.
- Caregivers: aides, CNAs and companions in the home, hired directly or sent by an agency.
- Nurses: RNs and LPNs on visits, shifts and medications, with the visit note.
- Therapists: speech, physical and occupational, with exercises to practice at home.
- Physicians: MDs, DOs, NPs and PAs, reading what changed since the last visit.
- Agencies: the office that staffs, schedules and bills.
All of them work from one plan, one schedule and one shared record: the day plan the family writes is the one the aide follows and every care-team login reads.
Hospice, palliative care and community paramedic clinicians join the care team the same way, with a code from the family.
Who it's for
The person, the family and the speech-language pathologist.
- For the adult who can think, read and choose
- Recognize the words on a screen and let the app say them. No typing is required, no writing, no guessing games, and the whole library is there from the first day.
- For the family
- Add the words only the family knows, choose the voice, invite the circle, and run the rest of the care, the plan, the medications and the schedule, from the same account.
- For the speech-language pathologist
- Join with a code, add words to the patient's library, assign practice, and see what the patient looked for and could not find when the family turns that on.
Common questions
Asked the way people search, answered from the app as it is.
- Is ExpressAgain an AAC app?
- Yes. AAC stands for augmentative and alternative communication: every way a person can communicate besides speech. ExpressAgain is an AAC app for adults and a communication aid: the person taps a phrase, spells on the Letters board or builds a message, and the app says it out loud.
- Does it speak out loud, like a speech generating device?
- Yes. Phrases are spoken through the browser's built-in voice at once. Natural voices come with a signed-in account, and a short recording in Settings becomes the patient's own cloned voice. Speed, pitch and volume adjust in Settings.
- Is there a communication board?
- Yes. Quick Speak tiles hold the things needed most often, the Phrase Library sorts hundreds of ready phrases by situation, and Letters is an on-screen alphabet board that speaks what is spelled. A 3 at a time switch shows fewer choices on calmer days.
- Does it work for nonverbal communication after a stroke, a brain injury or in the ICU?
- ExpressAgain began as one family's aphasia library after a stroke. The guided setup offers condition modes, each with its own phrase library shown first: Aphasia and Stroke, ICU and Ventilated, ALS and Parkinson's, Dementia and Senior Care, Head, Neck and Throat, and Hospice and Palliative. Every library stays one tap away in every mode.
- Is there anything to install?
- No. ExpressAgain runs in the web browser on a phone, tablet or computer. On an iPhone or iPad it can be added to the Home Screen, and the patient can open it with a number code on the devices the family marks as the patient's.
- Is communicating free?
- Yes. Tap to speak, the phrase boards, the sentence builder, Letters, the Phrase Library, lessons, games, the emergency screen and the built-in voice are on the Free plan. The Pricing page lists what the Individual and Family plans add.
- What does ExpressAgain do beyond AAC?
- The same account holds the care around the patient: the Home Care Team Plan, the day plan, Health Tracking, Prescriptions, Appointments and the Schedule, the family and friends circle, the Care Team of clinicians who join with a code, the Home Team of professionals who help in the home, and the Marketplace where families find them.
- Is it a medical device or a replacement for speech therapy?
- No. ExpressAgain is a communication and care-coordination tool, not a medical device or treatment. It is the voice a person uses between therapy sessions, and the therapist's assigned exercises appear in Practice Out Loud.
Looking for one condition? Who ExpressAgain helps lists every condition page, and More about aphasia explains the condition ExpressAgain began with.
ExpressAgain is a communication and care-coordination tool, not a medical device or treatment, and nothing here is medical advice. For diagnosis, treatment, and care decisions, always talk with your medical team.