I'm sorry I missed this earlier, but I absolutely believe that it could do that. Do you have any pointers to PDF forms that work well or don't work well with screen readers? I'd be happy to take a look, and see if I can improve this tool based on that.

In addition, did you try the "enhanced" pipeline? It gives each field a meaningful name based on the label, which might help with accessibility.

PDF accessibility is a huge issue that _should_ be easily solved, but isn't, unfortunately.