This document outlines an assistive technology assessment process. It begins with definitions of assistive technology and describes the SETT framework for assessment, which involves examining the Student, Environments, Tasks, and Tools. A case study of a student named Karen is presented to demonstrate how the SETT framework is applied. Assessment steps involving gathering information on the student, environments, and tasks are described. Potential tools are then identified, trials planned, and an implementation process outlined. Resources for finding assistive technology solutions are also listed. The document promotes an ongoing, team-based approach to assistive technology assessment and decision making.