This research explores the utility of a multimodal surface computer for supporting medical communication between older adults and health care providers. Research involves a field study of health care communication practices, the design of a multimodal surface computer application, and an in-context evaluation of the technology at a local retirement community. Keywords Multimodal Interaction, Older Adults, Surface Computing ACM Classification Keywords H5.2. Information interfaces and presentation: User Interfaces. General Terms Design, Experimentation, Human Factors