What Is on a 504 Plan Form?


Quick Answer

A 504 plan stipulates the accommodations and modifications that a student needs in order to perform in the school setting at the same level as his peers, explains About.com. These forms vary depending on the student's needs and the school district supplying the plan.

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Full Answer

A 504 plan for a student with diabetes may include the name of the school and the school year, as well as the student's name, date of birth, grade level and homeroom teacher. This plan may also include the student's bus number and the type of diabetes he has, reports the American Diabetes Association. A 504 plan may include objectives and definitions of key terms used in the plan. A 504 plan lays out who provides diabetes care for the student, how the care is provided, and what care the student provides for himself. The plan also addresses other accommodations and modifications the student needs such as snacks and meals, water, and bathroom access. The plan stipulates when to contact parents and who the student's emergency contacts are.

A 504 plan may also be developed for students with other illnesses or disabilities including celiac disease, spina bifida, inflammatory bowel disease, epilepsy and dwarfism. Students with communication and learning disorders or food allergies may also qualify for 504 plans, notes About.com.

A 504 plan may include accommodations that are specific to a child's illness or disability, states Bridges4Kids. General accommodations include implementing behavioral or academic contracts and breaking tests into segments, allowing the student to complete and turn in one segment of a test before beginning the next portion. Examples of specific accommodations include providing rest periods for students with asthma and providing students with learning disabilities access to written directions in addition to oral instructions.

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