An individual that is speech impaired, such as a patient in a dentist's office, is provided with means to communicate with a service provider, such as a dentist, without the individual using their own voice. In one embodiment, a computing system initiates display of user interfaces on a display device that is visible to the speech impaired individual. The speech impaired individual may then select text phrases displayed on the display device using an input device, such as a wireless remote control. The communication systems selects one or more audio files that correspond with the selected text phrases and plays the audio file(s) so that the dentist hears the audible representation of the selected text phrase, such as via a headset that is worn by the dentist. In some embodiments, the patient is further able to select one or more educational and/or entertainment media items via the user interface.