504 Plan Templates and Suggested Accommodations

Use these resources to help build a plan for your child at school

Mother and daughter (4-6) with mature female teacher in classroom.
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Do you wonder what a 504 plan should look like? Your child may have needs that should be accommodated so she can be successful in the classroom. A 504 plan spells out the modifications and accommodations that will be needed to make it possible for your child to succeed in a general education program.

The actual format of the 504 will depend upon your school, or you can download or create your own form.

These templates and accommodation lists provided by school districts and disability organizations can give you an idea of what to look at and look for when working with the school to put together a plan for your child.

504 Plan Forms and Information

Check these indexes of downloadable forms and handouts to find out how other school districts handle 504 planning. All include blank 504 templates, plus information for parents and staff.

504 Plans for Diabetes

The needs of students with diabetes are often outlined in a 504 plan. These two organizations offer examples of what one might look like.

  • From Children With Diabetes: Sample plans are available for each grade from pre-kindergarten through grade 12 and even for taking the SAT and ACT. They cover specific circumstances such as insulin injections and insulin pumps.
  • From the American Diabetes Association: Their model plan is available in Spanish as well as English. You can modify their model plan which covers a broad range of services and modifications and the age groups ranging from kindergarteners to high school seniors. The ADA notes that all plans should specify that school staff must be trained to recognize hypoglycemia and hyperglycemia and to respond in accordance with the child's Diabetes Medical Management Plan.

    504 Plans for Other Disabilities

    The following links lead to 504 plans or accommodation lists for the disabilities indicated:

    • Learning and Attention Issues: You can select from this list of accommodations and modifications that your child may need.
    • Dwarfism: These guidelines will download automatically as a .doc Word document.
    • Epilepsy (pdf): The Epilepsy Foundation provides a sample document that includes common needs for medications and recognizing and responding to seizures. It also has sections for those on a ketogenic diet and with a vagus nerve stimulator.
    • Food Allergies: The plan is specific for peanut and tree nut allergies, but may be useful for other food allergies.
    • Inflammatory Bowel Disease: A plan you can modify from the Crohn's & Colitis Foundation.
    • Spina Bifida (PDF)
    • Accommodations from Bridges 4 Kids: Useful lists of accommodations for conditions including allergies, arthritis, asthma, ADD/ADHD, bipolar disorder, cancer, cerebral palsy, AIDS, cystic fibrosis, deaf/hearing impairment, diabetes, drugs/alcohol, emotionally disturbed, encopresis/enuresis, epilepsy, hearing impairment, learning disability, leukemia, orthopedically impaired, special health care needs, temporarily disabled, Tourette's syndrome, traumatic brain injury, tuberculosis, visual impairment, and weight (obesity, anorexia, bulimia). They also have suggested wording for environmental strategies, organizational strategies, behavioral strategies, presentation strategies, and evaluation methods.

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