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Google has been working to improve accessibility in their documents. Depending on your needs there are several things you can do to make sure things are accessible.
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Download the document as a Word Document and use the Office tools for accessibility.
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Download the document as a PDF and use the Adobe Acrobat Accessibility tools
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Keep the document in Google, and turn on Accessibility
Resources available for creating accessible Google documents and presentations:
Using accessibility features in Google
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Go to Google Docs, Sheets, or Slides, and open a file.
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In the Tools menu, select Accessibility settings.
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Select Turn on screen reader support.
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Select Turn on screen magnifier support.