For people with ALS, or who cannot speak, and their families
A nonverbal communication app for adults who can read and point
A nonverbal communication app for adults works when the person can read and point, whatever took the voice: a stroke, ALS, a brain tumor, surgery, a breathing tube. ExpressAgain speaks the chosen phrase out loud and keeps a mode for each of those situations, picked once in the guided setup.
What is already built
A mode for each situation
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, and every phrase in the library stays open.
Where it lives: The guided setup · Read how it works
Yes, no and quick answers
Every mode's library carries yes and no and quick answers, and the ICU library holds pain from 0 to 10 and where it hurts.
Where it lives: Phrase Library · Read how it works
Emergency phrases
Instant emergency phrases spoken with one tap, pain and body location, and the SOS card on every page that has a rail.
Where it lives: Emergency page · Read how it works
Medical Words
What a test or a treatment is and what to expect, with questions the patient taps to ask the team out loud.
Where it lives: Medical Words page · Read how it works
Today: a mode for each situation, yes and no, the emergency phrases and Medical Words, all spoken with a tap.

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.
Which conditions have a mode?
Aphasia and Stroke (the core library), ICU and Ventilated, ALS and Parkinson's, Dementia and Senior Care, Head, Neck and Throat, and Hospice and Palliative, chosen in the guided setup.
Who sets it up?
The family's account owner, or the patient, in the guided setup: who the app is for and the mode, text and button sizes, a voice and the first people, then a review.