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SECTION 504 STUDENT REFERRAL Date: School: Student Name: Grade: Date of Birth: Parent(s)/Guardian(s) Name: Address: Email Address: Phone Numbers: Work: Home: Cell: Primary language spoken at home:
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How to fill out section 504 student referral

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How to fill out section 504 student referral

01
Start by obtaining a Section 504 referral form from your school or district's special education department.
02
Review the form to understand the information that needs to be provided.
03
Collect relevant data about the student, including their name, date of birth, grade level, and any relevant medical or disability information.
04
Identify the reasons for the referral, such as specific areas where the student may be experiencing challenges or needing accommodations.
05
Gather supporting documentation, such as medical reports, assessments, or teacher observations, that can provide evidence of the student's needs.
06
Complete the referral form accurately and thoroughly, ensuring that all required fields are filled in.
07
Attach the supporting documentation to the referral form.
08
Submit the completed referral form to the appropriate person or department at your school or district.
09
Follow up with the relevant parties to ensure that the referral is being processed and that appropriate accommodations are being put in place for the student.

Who needs section 504 student referral?

01
Any student who has a physical or mental impairment that substantially limits one or more major life activities may need a Section 504 student referral.
02
This includes students with disabilities, medical conditions, and special needs.
03
Section 504 protects students with a wide range of impairments, such as learning disabilities, ADHD, diabetes, asthma, chronic illnesses, and more.
04
If a student requires accommodations or support services to participate in the general education curriculum, they may benefit from a Section 504 referral.
05
It is important to consult with school or district personnel to determine if a student meets the criteria for a Section 504 referral.
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Section 504 student referral is a process by which a student is referred for evaluation to determine if they qualify for accommodations under Section 504 of the Rehabilitation Act of 1973.
School staff, parents, or legal guardians can file a section 504 student referral for a student.
To fill out a section 504 student referral, one must provide the student's information, reasons for referral, and any relevant documentation supporting the need for accommodations.
The purpose of section 504 student referral is to ensure that students with disabilities are provided equal access to education through appropriate accommodations and services.
Information reported on a section 504 student referral typically includes student's personal information, description of disability or impairment, and specific reasons for referral.
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