A new account now starts with Getting started (see Getting started: setting up your loved one's care). The voice and display setup is still there for everyone at Profile, Finish setup, and from the search box (type setup); it changes how the app looks and speaks.
Step 1: who will use the app (the patient, a family member setting it up, a clinician, a facility, or someone who helps in another way) and the condition mode. Step 2: text size, contrast, button size, three choices at a time, reduce motion and the reading supports, plus the quick phrases to pin; if you enter your loved one's name and date of birth, the two phrases hospitals ask for constantly are saved and pinned. Step 3: the voice, the communication controls, the speaker volume, emergency quick call and the first people and phone numbers. Step 4 is a review of everything you chose.
The setup no longer asks what the patient needs help with most, who can manage settings, how caregivers are notified, the microphone, camera or offline choices, or the dominant hand: nothing in the app used those answers. Anything already saved for them is kept, and Settings still shows them.
All six modes are live today. Aphasia and Stroke is the core library. ICU and Ventilated adds its own ICU and after-surgery phrases, ALS and Parkinson's adds one library for both, Dementia and Senior Care adds Everyday & Familiar, Head, Neck and Throat adds its own airway, swallowing and talking-again phrases, and Hospice and Palliative adds Comfort & End of Life; each mode's own phrases open first in the Phrase Library and at the top of the Communicate page. Change mode, in the sidebar and on the Profile page, switches between them; every phrase in the library stays available.