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REFERRAL FORM SECTION 504 AND×OR SPECIAL EDUCATION AND RELATED SERVICES (R1) Initial Referral Name of Child (Last, First, Middle) KEWASKUM SCHOOL DISTRICT Date of Birth Reevaluation Grade School

How to fill out referral form section 504

How to fill out referral form section 504:

1. Start by obtaining the referral form: Contact the appropriate organization or institution that requires the referral form section 504. They will provide you with the necessary paperwork.
2. Review the instructions: Read through the instructions carefully to understand the requirements and purpose of the referral form section 504. This will help you provide accurate information and ensure your referral is properly processed.
3. Gather relevant information: Collect all the necessary information needed to complete the referral form. This may include personal details, contact information, relevant medical or educational history, and any supporting documentation required.
4. Fill out personal details: Begin by providing your personal details such as your full name, date of birth, address, phone number, and email address. Ensure the information is accurate and up-to-date.
5. Provide relevant medical or educational history: Depending on the purpose of the referral form section 504, you may need to share details of any medical or educational history that may be pertinent. This could include information about any disabilities, special accommodations needed, or previous interventions received.
6. Include supporting documentation: Attach any relevant supporting documentation as instructed in the referral form section 504. This may include medical records, diagnostic assessments, or educational evaluations that provide additional context and evidence for the referral.
7. Seek professional guidance if necessary: If you are unsure about any section or requirement on the referral form section 504, it is recommended to seek guidance from a professional who is familiar with the process. This could be a doctor, counselor, or educational specialist who can assist in accurately completing the form.

Who needs referral form section 504:

1. Students with disabilities: Referral form section 504 is typically required for students with disabilities who may require special accommodations or support services in educational settings. This could include physical, mental, emotional, or learning disabilities.
2. Parents or guardians: If you are a parent or guardian of a student with disabilities, you may be responsible for filling out the referral form section 504 on behalf of the student. Ensure you have the necessary authority and information to accurately complete the form.
3. Educational institutions: Schools, colleges, or educational institutions that provide services to students with disabilities may require a referral form section 504 to assess and address the individual needs of these students. The form helps these institutions gather information and determine appropriate accommodations or support services.

Remember, it is important to carefully follow the instructions provided with the referral form section 504 and to submit the completed form within the specified timeline.

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What is referral form section 504?

Referral form section 504 is a document used to request accommodations for students with disabilities under Section 504 of the Rehabilitation Act of 1973.

Who is required to file referral form section 504?

School administrators, teachers, or parents of students who may need accommodations due to a disability are required to file referral form section 504.

How to fill out referral form section 504?

Referral form section 504 can be filled out by providing information about the student's disability, the accommodations requested, and any supporting documentation.

What is the purpose of referral form section 504?

The purpose of referral form section 504 is to ensure that students with disabilities are provided with the necessary accommodations to have equal access to education.

What information must be reported on referral form section 504?

Information such as the student's name, disability, requested accommodations, and any supporting documentation must be reported on referral form section 504.