For patients who run their own care
Your words. Your care. Your call.
Living with aphasia after a stroke, ALS, a brain tumor, a spinal injury or head and neck cancer, or home after the ICU? ExpressAgain speaks for you, with no timer and no rush, and keeps your care in your own hands.
When you sign up, choose This is for me. Free to start, in the browser on any phone, tablet or computer. Nothing to install.
Setting it up for someone else? See the page for families.
Where you are
Your voice changed. You did not.
When the words are slow, or gone for a while
After a stroke, with ALS, a brain tumor, head and neck cancer or a breathing tube, speaking can be the hardest part of the day. Communicate speaks for you, at your pace, with no timer.
Your care is yours to run
Your doctors, appointments, medications, readings and papers sit in one account that you own, on a phone, a tablet or a computer, in the browser.
You choose who comes in
Nobody joins without a single-use invitation tied to a named person. Family, friends and clinicians each get their own login and see only their part.
Help that answers to you
Get Help Now reaches the people you chose when you need them. I am not safe reaches outside help, privately, when the problem is closer to home.
Your voice
Say what you mean, at your own pace.
Communicate is free and never behind a paywall. Every card below is in the app today and links the Help Center article that describes it.
Tap a phrase and it is spoken
One tap says it out loud. There is no timer and no rush: the app waits as long as it takes.
Tap any phrase to speak it →How it works
Communicate is your workspace. Speak holds Quick Speak tiles for what you need most, your recent and saved phrases, and your own words. Type speaks anything you type. Letters is an on-screen alphabet board: spell a word letter by letter, hear it, and Share sends it as your note to family and friends and to your care team. A 3 at a time switch shows fewer choices on calmer days.
Build a message, piece by piece
Starters like I am, What about and Let's open long lists of the things a person in your place actually wants to say.
Build a message →How it works
When a ready-made phrase is not enough, Build a message puts a sentence together from starters and endings, written for being underestimated, being tired, wanting real information and having opinions about your own care. Speak the finished message, save it for later or star it.
Your condition's phrases come first
Choose your mode in the guided setup, and its phrases open first in the Phrase Library and on Communicate.
The Phrase Library →How it works
Aphasia and Stroke, ICU and Ventilated, ALS and Parkinson's, Head, Neck and Throat, Dementia and Senior Care, Hospice and Palliative: each mode has its own phrases, with the urgent ones tagged, and every phrase in the library stays open to you. Change mode any time from the sidebar or the Profile page.
Your own words, added by you
The names, places, shows and needs no ready-made library could know, in a group with your name on it.
Your own words →How it works
A grandson's name, your church, a favorite show: type it, or start from Call ___, I want my ___, Put on ___ or Where is ___?. As the account owner you add, edit, group and archive them yourself, and they come first in the Phrase Library and on Communicate, as Sam's words. Your speech therapist can add words too, from the care-team dashboard.
Medical Words, in plain language
What an MRI is, why doctors use saline, what to expect, with questions you tap to ask out loud.
Medical Words →How it works
Every entry says what the thing is, why doctors use it and what to expect, and offers questions to ask the team with one tap, such as Why do I need saline? It explains words, never your own case: every card points you back to your care team.
A voice you choose
A warm built-in voice works right away. A signed-in account adds natural voices.
Choosing a voice →How it works
In Settings, under Voice and Accessibility, pick the voice and set the speed, pitch and volume until it sounds right; slower is often clearer. Test my voice plays a line so you can hear the choice.
Your own voice, kept
A short recording becomes a voice that sounds like you, so I love you sounds like you.
Your cloned voice →How it works
Record yourself from Settings, or upload a recording, best made while speaking is still comfortable or before a planned surgery. Until the voice is ready, a clear built-in voice speaks, so you are never without one. The recording goes to the voice service that builds the voice and is not stored by us. Part of the Individual plan.
Your name and date of birth, ready to tap
Hospitals ask for both constantly. Enter them once and they are pinned as two phrases.
The guided setup →How it works
The guided setup asks for your name and date of birth and turns them into My name is … and My birthday is …, pinned and one tap away for every nurse, every desk and every new specialist.
Bigger text, bigger buttons, higher contrast
Set them in the guided setup or in Settings, and the whole app reflows to match.
Text, buttons and contrast →How it works
Larger text, bigger touch targets, higher contrast and reduced motion, plus a simple-language preference that keeps wording short. The app is built for one-handed use, tired eyes and hard days.
Communicate works from the first minute after you sign up.
Your care
Your doctors, your medications, your records, run by you.
As the account owner you hold the record. The app says your name on every label, never a pronoun: Sam's Day, Sam's Schedule, Sam's care.
Your doctors, one tap away
Each doctor, nurse and clinic is a card on the Care Team page with a name, a role and a phone number to tap and call.
The Care Team page →How it works
Add a contact at the top. Next visit puts the appointment on your calendar. Log a call or visit keeps what happened: a call you made, an office or video visit, an emergency room visit, a hospital admission and the discharge date, with who was involved and a note.
A login for the clinicians you choose
Give access on a card mints a single-use code for that person's discipline.
Invite a clinician with a code →How it works
Speech therapist, physical therapist, occupational therapist, nurse, physician (MD / DO / NP / PA), palliative care, hospice and more. The person joins at the IDC Team sign-in and reads the day plan, your medications, your tracking and the notes. A doctor can also stay a simple contact card with no login: a person is one or the other.
Appointments, with the ride and what to bring
Book each visit with where to go, what to bring, who is driving and who goes along.
Appointments →How it works
It lands on your Schedule the moment it saves, and nothing can overlap. The day before, an email reminds you, with who is driving. After the visit, Write what happened keeps your notes and the next appointment.
Health Tracking you log yourself
Blood pressure, temperature, oxygen, pain, weight, sleep, meals and symptoms, in one chart.
Health Tracking →How it works
Every entry carries who logged it and when, and a symptom can carry a photo or a short video. Green and red only say inside or outside the targets you typed in: the chart records and displays, and it never judges a value or recommends treatment. The same chart is on your care team's dashboard.
Medications, with a reminder when a dose is due
Your medications, allergies and pharmacies on one page, and a pop-up when a set is due.
Medication schedules and the reminder →How it works
Enter the times from the label. When a set is due, the pop-up asks and Given now logs it. Turn on phone notifications and the reminder reaches your phone, with no medicine named on the lock screen. ExpressAgain reminds; it does not decide when a medicine is taken, and it does not check or suggest doses.
My Journal and mood check-ins
One-tap check-ins that speak for you, kept beside your vitals.
The journal and the Care Team Report →How it works
My Journal keeps how you feel, day by day. The Care Team Report puts your check-ins, observations, care events and vitals into one dated, printable document to hand to a doctor or a new specialist: your own records, exactly as written, with no scoring.
Your Emergency Plan Card
Your emergency identification card, kept in the app and printed with one button.
The Emergency Plan Card →How it works
The paper card's fields, filled in once: who you are, your conditions, the evacuation plan and the rest. Your medications and allergies feed it, and every clinical login on your care team reads it.
Your papers, and your say at the signing
Important papers lists who can speak for you, and Signing Mode gives you quiet answers on the day you sign.
Important papers →How it works
The health care power of attorney, the living will, the financial power of attorney and the rest, with each state's signing rules, a status for each and the signed copy uploaded. Signing Mode on Communicate gives you nine quiet answers, from Yes and No to I want to talk to the attorney alone and Stop. The answers are yours.
Start with the Care Team page: one card for each doctor.
Your people
You decide who comes in, and what each person sees.
Care Team helps manage your care: the doctors, nurses, therapists and clinics. Home Team helps you at home: the professionals who come to the house. Family and friends join the circle by your invitation.
Invite family and friends, each with a role
Each person gets a personal link that works once, with the role you choose.
Invite family and friends →How it works
Full access for the one or two people you trust to help run things. Family for the feed, the Love Bucket, photos and updates, never the medical pages. Friends for the friends feed and the Love Bucket. Only you, as the account owner, hand out full access.
Each person sees only their part
The walls are enforced on the server, not only in the menu.
Who can see what →How it works
Clinical logins see the shared clinical window: the day plan, medications, targets, tracking and notes, never the family feed. Family accounts never see the medical pages, the vault or the bills. Public links, such as a visit link, carry no medical information.
My People, with a Speak button
Real Call, FaceTime and Text buttons for the people who matter to you.
My People →How it works
Each person's Speak button says a line like Please call my daughter out loud. Your emergency contacts sit together, and Speak to everyone speaks a line to the whole room.
Your own key, on your own tablet
A 5 to 10 digit number code on the device you mark as yours: tap the code and you are in.
Your own key and device →How it works
In Settings, under Privacy and Security, set the number code and mark this device as yours, and the sign-in page there shows a number pad. If a family member set the account up, the same place gives you your own email and password on it.
Getting help
Help from the people you chose, and a private line of your own.
Get Help Now
One tap says I need help now out loud, then gives you five seconds to cancel.
After five seconds the alert goes to the people you gave full access and the professional on shift, by phone notification, text and email. If no one answers within three minutes, your emergency contacts get a text and an automated call. The first person to answer stops the ladder, and your screen says who is on the way. The app never calls 911 by itself.
Get Help Now alerts →I am not safe
Your own door to outside help, for when the people caring for you are the problem.
Directly under Get Help Now, on your own view of the Emergency page. One tap calls 911, the Eldercare Locator to report neglect or abuse, the 988 Suicide & Crisis Lifeline or the Veterans Crisis Line. Behind a private code only you know, keep one trusted person to tell and a private note. Nothing on the card is spoken out loud, and nothing on it alerts your family, your home team or your care team.
I am not safe →The Emergency page
Emergency is the last link in the menu, in red, on every screen.
Emergency phrases spoken with one tap, pain and where it hurts, your emergency contacts and your critical medical information in one place. If someone is in immediate danger, call 911 or your local emergency number.
The Emergency page and SOS →
If you are in danger right now, call 911. The app never calls 911 by itself.
How you start
Three steps, and the first one is free.
Create a free account
Your name, an email and a password, then choose This is for me. You are the account owner: the record is yours.
Four short setup steps
Choose your condition mode, set text and button sizes, pick a voice, add your first people and pin your name and date of birth. Everything can be changed later in Settings.
Bring in your people
Invite family and friends with the role you choose, put your doctors on the Care Team page, and give a code to each clinician you want to see your record.
Every setting can be changed later.
Questions
What people in your place ask us.
Your voice, your care, in your hands. Start today.
Create the free account and choose This is for me, or tell us what would help and we will walk you through the first steps.
Talk to us
Tell us what would help.
A few words are enough. Someone you trust can fill this in with you. A real person replies within one business day and can walk you through the first steps.
Rather start on your own? Create a free account.
One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills