Creating accessible documents in Microsoft Word | Information Technology
Creating accessible Word documents is very similar to creating accessible html documents, so if you know how to create one, you have a leg up on creating the other.
Create Accessible PDFs from Microsoft Word Documents: The Basics
If at all possible, create a document that is not a PDF. Making a web page accessible to people with disabilities is far easier than making a PDF accessible. Microsoft Word documents are easier to make accessible than PDFs.