Identifies physical constraints and barriers that impede the client's independent function or the care provider’s ability to effectively provide adequate and safe care.  Environmental accessibility evaluations explore the client’s need for bathroom modification (i.e. installation of a roll-in shower), ramps, mechanical lifts, door width widening, and other similar types of modifications that improve the wheelchair accessibility of the home.  Environmental accessibility evaluations may also explore options that improve the care giver’s ability to transport the client.  These include considering need for van lifts, specific vehicle modifications, external wheelchair carriers or alternative mobility equipment that facilitate travel. It does not include assessment of a vehicle for modification to allow adaptive driving.

Determines the need and the type of alternative or augmentative communication device required by a person to effectively communicate. This assessment a) explores and defines the person's communication limitations; b) when applicable, recommends specific compensatory communication strategies and / or alternative augmentative communication devices and essential components; c) provides individualized justification for recommended equipment and components. The evaluation process is generally conducted by a licensed speech and language pathologist with input from the client, his/her care provider or parents, a regional center service coordinator, and an occupational therapist when applicable.

Determines the need for specific adaptive computer hardware, software, and peripherals necessary to allow a person to work or complete academic tasks. This assessment a) analyzes the person's work or academic tasks; b) determines how the disability or condition limits the person's ability to perform the tasks; c) determines how the computer can be modified using adaptive software, hardware, and peripherals to allow the person to effectively perform the tasks; d) justifies the necessity of each component of the recommended system. The evaluation process is generally conducted by an occupational therapist with input from the client, and other service providers.