For people with ALS, or who cannot speak, and their families
A communication device for ALS on the tablet you already have
A communication device for ALS can be the tablet or phone already on the nightstand. ExpressAgain runs in the browser with nothing to install, speaks with one tap, and keeps working as a number-code login on the devices the family marks as the patient's.
What is already built
Phone-first, in the browser
Every screen is checked at phone width with no sideways scroll, and tap-to-speak runs on any tablet or phone in the browser.
Where it lives: How it works · Read how it works
The patient's own key
A 5 to 10 digit number code on the devices the family marks as the patient's: the login page shows a number pad, tap the code and Communicate opens.
Where it lives: Settings, the patient's login · Read how it works
Bigger buttons, less motion
Larger text, bigger touch targets, higher contrast and reduced motion, set in the guided setup and in Settings, for one-handed use and hard days.
Where it lives: Settings, Voice and Accessibility · Read how it works
Fewer choices at a time
A 3-at-a-time switch on Communicate shows fewer choices on calmer days.
Where it lives: Communicate page · Read how it works
Today: the tablet you have, a number-pad login, bigger buttons and fewer choices at a time.
How it works
Create a free account: your name, email, a password and who the app is for (yourself, someone you care for, a patient, or an organization).
The guided setup takes four short steps: who the app is for and the condition mode, text and button sizes, a voice and the first people, then a review.
Tap any phrase on Communicate to say it out loud; invite family with a personal link and give each clinician or professional a code from the Care Team page.
Questions people ask
Is it free to start?
Yes. Free is where everyone starts, and communicating is never behind a paywall: tap to speak, the phrase boards, the sentence builder, Letters, the Phrase Library, lessons, Games and Play, the emergency screen, the Emergency Plan Card and the built-in voice. Free also invites 2 family members to the Family and Friends Feed. The Pricing page shows the plans side by side.
What happens after I sign up?
Sign up asks for your name, email and a password, and who the app is for. Then the guided setup takes four short steps: who the app is for and the condition mode, text and button sizes, a voice and the first people, then a review. Entering the patient's name and date of birth pins the two phrases hospitals ask for constantly.
Does it work on an iPad?
Yes, in Safari. Add ExpressAgain to the Home Screen with the Share button to open it from an icon and to turn on notifications; nothing is installed from an app store.
What if the hands get weak?
Bigger buttons and the 3-at-a-time switch reduce what a tap has to hit, the Letters board spells one letter at a time, and a family member can Type anything to be spoken.