
Get the free SECTION 504 REFERRAL RECORD REVIEW MEETING School Date
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The Public Schools of Pentosan SECTION 504 REFERRAL & RECORD REVIEW MEETING School: Date: Students Name: Birth Date: Sex: Grade: Parents Name: Phone (Home/Work/Cell): Parents Address: Street City
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How to fill out section 504 referral record

How to fill out section 504 referral record:
01
Start by gathering all the necessary information. This includes the student's name, grade level, date of birth, and contact details.
02
Next, provide a brief description of the reason for the referral. This could be due to a disability or a suspected need for accommodations under Section 504.
03
Specify the date of the referral and the name of the person making the referral. This could be a teacher, counselor, parent, or any other person involved in the student's education.
04
Indicate whether the student has already received any accommodations or services under Section 504. If yes, provide details about the accommodations and their effectiveness.
05
Include any relevant supporting documents, such as medical records, testing results, or previous student evaluations.
06
Clearly state the desired outcome or goal for the referral. This could be the need for an evaluation, the implementation of specific accommodations, or a reevaluation of existing accommodations.
07
Finally, sign and date the referral record, and ensure that all necessary parties have a copy.
Who needs section 504 referral record:
01
Students with disabilities who may require accommodations or modifications in their educational setting.
02
Parents or guardians who believe their child may have a disability that could affect their access to education.
03
Educators, including teachers, counselors, or administrators, who are responsible for identifying and addressing the needs of students with disabilities.
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What is section 504 referral record?
Section 504 referral record is a document used to refer students for evaluation to determine if they qualify for accommodations under Section 504 of the Rehabilitation Act.
Who is required to file section 504 referral record?
School administrators, teachers, or parents may be required to file section 504 referral record.
How to fill out section 504 referral record?
Section 504 referral record should be filled out with the student's information, reason for referral, and any relevant documentation to support the referral.
What is the purpose of section 504 referral record?
The purpose of section 504 referral record is to initiate the evaluation process for students who may be eligible for accommodations under Section 504.
What information must be reported on section 504 referral record?
The information reported on section 504 referral record should include the student's name, grade, reason for referral, and any relevant documentation.
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