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504 Referral-turn in form to School Counselor. 5/27/2014. Student Name: Grade: Your Name: Relationship to student: Your phone/email: Date: Please provide ...
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How to fill out referral for 504 form

How to fill out a referral for a 504 form:
01
Begin by obtaining the referral form for the 504 plan from the relevant school or institution. This form may be available online or through the school's office.
02
Read the instructions provided with the referral form carefully. Familiarize yourself with the required information and any supporting documents that may be necessary.
03
Fill out the referral form accurately and completely. Provide your personal information, including your name, contact details, and relationship to the student if applicable.
04
Specify the reason for the referral. Clearly explain the student's needs or disabilities that require accommodation under the 504 plan.
05
Include any relevant medical or educational documentation that supports the need for a 504 plan. This may include doctor's notes, educational assessments, or previous 504 plans.
06
Make sure to sign and date the referral form before submitting it. Check if there is a designated person or office to whom the form should be submitted.
Who needs a referral for a 504 form?
01
Students with disabilities or medical conditions that impede their ability to participate fully in school activities may require a referral for a 504 form.
02
Parents or guardians of students who believe their child needs accommodations in the academic or extracurricular setting due to a disability or medical condition may initiate the referral process.
03
Teachers, school staff, or healthcare professionals who identify a student's needs for accommodations under a 504 plan may also initiate a referral.
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What is referral for 504 form?
Referral for 504 form is a request for evaluation to determine if a student qualifies for accommodations under Section 504 of the Rehabilitation Act of 1973.
Who is required to file referral for 504 form?
School personnel, parents, or guardians can initiate the referral for 504 form.
How to fill out referral for 504 form?
The referral for 504 form should be completed by providing information about the student's impairments, limitations, and the need for accommodations.
What is the purpose of referral for 504 form?
The purpose of referral for 504 form is to ensure that students with disabilities receive appropriate accommodations to access educational opportunities.
What information must be reported on referral for 504 form?
The referral for 504 form must include information about the student's impairments, medical history, educational performance, and the need for accommodations.
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