Slides have images of pages from a manual, how can I make them screen reader friendly?

Hello Carrie, what I can think of to give one heck of an experience for a learner when viewing such slides is to highlight parts of the image that is being discussed by the narrator as he/she explains how to use it. When the narrator talks about a certain field on the form and gives a sample entry on that field, display a sample text on that field so the learner can see an actual sample of what the narrator has given.

You can do so by creating a sample on another layer, and time it so that the layer is shown while the narrator gives a sample entry on a certain field. You'd have to experiment with the timing when the different layers of highlights and samples appear while the narrator speaks. A tip that can help is to double-click the audio file of the narrator so you can see when he/she says which.

Since it is a form, the sample may just be a text box. While the highlights may be in a form of a rectangle formatted so that it has no fill.

And as you've thought of, you may add a web object of that form to give the learner the option to download.