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504 Plan School Request

Purpose of the 504 Plan Request Form for Parents:


This form is a resource for parents seeking accommodations for their child under a 504 Plan. It provides a template for requesting specific support from schools to ensure that children with mental health conditions, such as anxiety or ADHD, receive the necessary accommodations for their success in the classroom. The form outlines key accommodations that can help students manage symptoms while staying engaged in their education, including extended test times, breaks during the day, and access to support staff.


By using this form, parents can advocate for their child’s needs in a structured, clear way, fostering a supportive learning environment.


Download the form here:



504 plan for children in school

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