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Section 504 Initial Evaluation & Periodic Re-Evaluation Form 7, page 1 of 4 Section 504 Initial Evaluation & Periodic Re-Evaluation Student: Student ID #: Date of Birth: Grade: Campus: Previous Campus:

How to fill out section 504 initial evaluation

How to fill out a section 504 initial evaluation:

1. Begin by gathering the necessary documentation, such as medical records, observations, and any previous evaluations.
2. Use the designated form provided by your school or organization to ensure comprehensive and accurate information is captured.
3. Start by noting the student's personal information, including their name, date of birth, and grade level.
4. Indicate the date of the evaluation and the person or team responsible for conducting it.
5. Provide a summary of the reason for initiating the evaluation, including any concerns or issues that have been identified.
6. List the assessments or evaluations that will be conducted as part of the process, such as medical exams, psychoeducational assessments, or observations.
7. Document the individuals, professionals, or specialists involved in conducting each assessment or evaluation.
8. Record the findings or results of each assessment in detail, along with any observations, interviews, or comments relevant to the student's needs.
9. Analyze the results and determine the extent to which the student's disability or impairments affect major life activities, such as learning, communication, or mobility.
10. Consider any accommodations or services that may be needed to provide equal access and opportunities for the student.
11. If the evaluation determines that the student qualifies for protection under Section 504, outline the specific accommodations, modifications, or support services recommended.
12. Include any additional notes, recommendations, or relevant information that may be helpful for the student's educational team.
13. Ensure that all necessary signatures and dates are provided to validate the completion of the evaluation process.

Who needs section 504 initial evaluation?

1. Students who have a physical or mental impairment that substantially limits one or more major life activities, such as learning, walking, hearing, seeing, or speaking.
2. Students who may require accommodations or services to ensure equal access to educational programs, activities, and services.
3. Students who have a history of or are suspected of having a disability but have not yet received any formal evaluations or documentation.
4. Students who are experiencing challenges or difficulties in academic, social, or behavioral areas that may be attributed to a disability or impairment.
5. Students who have been referred for an evaluation by teachers, parents, or other individuals concerned about their educational needs.
6. Students who are transitioning between different school levels (e.g., from elementary to middle school) and may require additional support and accommodations.
7. Students who have experienced a change in their circumstances, such as an injury, illness, or medical condition, that may impact their ability to participate fully in their educational environment.

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What is section 504 initial evaluation?

Section 504 initial evaluation is the process of determining if a student is eligible for accommodations or services under Section 504 of the Rehabilitation Act of 1973.

Who is required to file section 504 initial evaluation?

School districts are required to conduct a section 504 initial evaluation for any student who may require accommodations due to a disability.

How to fill out section 504 initial evaluation?

Section 504 initial evaluation forms can be filled out by school administrators, teachers, or parents, and should include information about the student's disability, needs, and required accommodations.

What is the purpose of section 504 initial evaluation?

The purpose of a section 504 initial evaluation is to identify students with disabilities who may need accommodations to have equal access to education.

What information must be reported on section 504 initial evaluation?

Information reported on a section 504 initial evaluation form typically includes the student's name, disability, accommodations needed, and any relevant medical information.