The document provides instructions for creating a scanning communication board in PowerPoint that allows users to select options by hovering over images or words with their mouse. It discusses using pictures, text, symbols and recorded audio to create choices that can be selected to communicate basic messages or requests. Step-by-step directions are given for setting up the board with cells, copying slides to create multiple choices, adding rectangles over the cells to select them and linking audio files to the rectangles so selections play sounds.