This document provides instructions for creating an accessible e-book using Microsoft PowerPoint. It can be used by students with hearing, vision, or motor skill impairments. The instructions are presented in 3 steps: 1) Open a PowerPoint and add text and images, 2) Insert text, pictures, and record audio, 3) Create a "mouse house" using common household items to allow students to easily click through slides. The mouse house helps students with underdeveloped motor skills access the presentation.