Assistive Technology Assessment Application - Adult

Do I need technical assistance or an assessment?

The need for assistive technology (AT) begins with a problem.  The problem is anything that hinders an individual from completing a goal.  That goal may be as simple as opening a jar to taking a shower safely or accessing a computer for email.  The individual may encounter the problem at home, in the workplace, or the community.  IATP staff can provide a variety of technical assistance in the form of information, referral, short-term device loans, and demonstration, all at no cost to individuals.  IATP also maintains a database of used and refurbished devices for sale or donation. 

If a formal assessment is required for the purchase of assistive technology, IATP can provide assessment services to adults for a fee. 

Who will perform the assessment?

An Assistive Technology Professional (ATP) credentialed through RESNA (Rehabilitation Engineering and Assistive Technology Society of North America) or other certification program, will perform the AT assessment. ATPs have an educational background in occupational therapy, physical therapy, speech-language pathology, special education, or rehabilitation, and/or years of ongoing work experience (.25 to .50 FTE) of direct AT consumer-related services.   

What are the procedures for an AT assessment?

  • Fill out an online AT assessment application.
  • Fees will be determined and authorization will be obtained from individual or agency.
  • An ATP will be assigned to the assessment.
  • The ATP will follow the Fundamental Assessment Process utilizing a team approach.
  • The ATP looks at the individual, environment, and tasks through observation, review of records, and input from the individual and others identified by the individual.
  • Through a feature-matching process, potential AT devices and software are identified and tried with the individual.
  • The continuum of devices and software are considered to ensure cost effectiveness and identification of the most appropriate device.
  • A written report will be provided within two weeks of the visit as one tool in making AT decisions.

 

Assessment Application for Adults





Individual's Information









Person Completing the Application





****List the Team Members in the space provided.   Please provide the following info Team Member, Title, Email Address, Phone Number******












































Please complete all summaries that apply

Summary of Abilities and Concerns Related to Computer/Device Access

Summary of Abilities and Concerns Related to Computer/Device Access

Summary of Abilities and Concerns Related to Composing Written Material

Summary of Abilities and Concerns Related to Communication

Summary of Abilities and Concerns Related to Reading

Summary of Abilities and Concerns Related to Math

Summary of Abilities and Concerns Related to Seating and Positioning


Summary of Abilities and Concerns Related to Vision