The Print Flip Chart (Hanser, 2003) is intended for students with multiple significant physical, vision and hearing impairments, including those with unknown cognitive skills. These students are unable to hold a pencil or physically manipulate a standard, adapted or enlarged keyboard. The alphabet flip chart can be utilized with partner-assisted scanning and natural gestures to indicate a choice ("no tech"). Alphabet flip charts can also be utilized with 1 of 2 switch partner assisted scanning. A guide to using the flipchart is included.