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Services and Accommodations Under Section 504

  • Writer: Accessible Education
    Accessible Education
  • Nov 11
  • 10 min read

Understanding what types of services and accommodations are available under Section 504 helps you advocate for what your child needs. Part 7 of our Understanding Section 504 series provides a comprehensive look at the range of supports schools can and should provide to ensure your child receives a Free Appropriate Public Education (FAPE).


The Foundation: What Section 504 Requires Schools to Provide

Classroom illustration of students using different learning supports, symbolizing Section 504 accommodations and services.
Accommodations help level the playing field — ensuring every child can learn and participate fully.

Section 504 mandates that schools provide eligible students with FAPE, which is delivered through a combination of services:


  • Regular or special education

  • Related aids and services

  • Supplementary aids and services (often called accommodations)


The fundamental purpose is to meet your child's individual educational needs as adequately as the needs of non-disabled students are met.


Types of Educational Services and Placement


FAPE under Section 504 can take several forms depending on your child's needs:


1. Regular Classroom Education


Many students with Section 504 Plans receive all their instruction in regular education classrooms. Their needs are met through accommodations and supports provided within that setting.


Example: A student with ADHD who receives extended time on tests, preferential seating, and organizational supports but participates fully in general education classes.


2. Regular Classes with Supplementary Services


Students may be educated in regular classes along with supplementary aids and services (accommodations). This is the most common model for Section 504 students.


Example: A student with diabetes who attends all regular classes but has accommodations for health monitoring, snacks, bathroom breaks, and modified PE activities.


3. Special Education and Related Services


Section 504 can include special education services when needed. While this is more common under IDEA, Section 504 can provide specially designed instruction (SDI) if that's what the student needs.


Example: A student with a visual impairment who does not qualify for special education under IDEA may still be determined by the Section 504 committee to need orientation and mobility services (O&M), which is a related service that can be provided under Section 504.


4. Combination Settings


Some students receive a combination of services across different settings based on their needs.


Example: A student with a chronic illness who receives some instruction in the regular classroom and some through homebound services during medical treatments.


Academic Accommodations: Changing How Students Learn


Accommodations are adjustments designed to reduce or eliminate the effects of a student's disability on academic tasks. Remember, accommodations change how students learn or demonstrate knowledge, not what they learn.


The Four Categories of Accommodations


The Section 504 Team should consider whether changes are required in these four areas:


1. Presentation Accommodations (How Information is Delivered)


Examples:

  • Providing an outline or notes before lectures

  • Using visual aids and graphic organizers

  • Repeating or rephrasing instructions

  • Providing written copies of verbal instructions

  • Highlighting key information in texts

  • Breaking complex directions into smaller steps

  • Using large print materials

  • Providing audio recordings of text

  • Color-coding materials for organization

  • Minimizing visual distractions on worksheets


Real-world example: A student with ADHD receives a structured outline at the beginning of each class showing the day's activities and key learning points, helping them stay focused and organized.


2. Response Accommodations (How Students Demonstrate Knowledge)


Examples:

  • Allowing typed instead of handwritten responses

  • Permitting verbal responses instead of written

  • Using a scribe for written work

  • Allowing use of speech-to-text software

  • Providing access to a calculator when calculation isn't being assessed

  • Allowing graphic organizers for essay planning

  • Permitting alternative project formats

  • Using multiple-choice instead of essay for students with writing disabilities (when writing isn't being assessed)


Real-world example: A student with dysgraphia (difficulty with handwriting) types all assignments and tests on a laptop, removing the barrier of handwriting while still demonstrating their knowledge of the content.


3. Setting Accommodations (Where Learning Occurs)


Examples:

  • Preferential seating (front of class, away from distractions)

  • Testing in a separate, quiet location

  • Small group testing environment

  • Reduced distractions testing area

  • Special lighting or acoustics

  • Adaptive or specialized furniture

  • Access to a sensory break space

  • Designated workspace with minimal visual distractions


Real-world example: A student with anxiety takes tests in the counselor's office with one other student, reducing the stress of the large classroom environment and enabling them to focus and perform.


4. Timing and Scheduling Accommodations


Examples:

  • Extended time on tests and assignments (often time-and-a-half or double time)

  • Frequent breaks during long tasks

  • Breaking tests into multiple sessions

  • Allowing late submission of homework

  • Flexibility with assignment due dates during medical episodes

  • Scheduling high-stakes tests at optimal times of day

  • Extra time between classes for transitions

  • Modified school day schedule


Real-world example: A student with ADHD receives time-and-a-half on all tests and assignments and is permitted to take a 5-minute break after every 20 minutes of testing to maintain focus and reduce fatigue.


Specific Accommodation Examples by Need Area


For Students with Attention and Executive Function Challenges (ADHD, etc.)


Organizational Support:

  • Daily planner with teacher verification

  • Checklists for multi-step assignments

  • Color-coded folders or binders for each subject

  • Copies of class notes or peer notes

  • Weekly organization check-ins

  • Breaking long assignments into smaller chunks with separate due dates


Environmental:

  • Preferential seating away from windows, doors, and high-traffic areas

  • Use of privacy boards or carrels during independent work

  • Minimal visual clutter in workspace

  • Access to fidget tools or standing desk


Instructional:

  • Visual and verbal instructions

  • Frequent check-ins for understanding

  • Visual timers to show time remaining

  • Signals or cues to redirect attention without drawing attention to the student


Testing:

  • Extended time

  • Testing in quiet location

  • Breaks during testing

  • Tests read aloud or access to text-to-speech


For Students with Anxiety, Depression, or Emotional Disabilities


Environmental:

  • Identified safe space to visit when overwhelmed

  • Scheduled check-ins with counselor

  • Option to take breaks without asking

  • Access to stress management tools


Academic:

  • Advance notice of changes in routine

  • Test anxiety accommodations (separate setting, extended time)

  • Modified presentation requirements

  • Excused tardiness related to counseling appointments


Social/Behavioral:

  • Reduced oral presentations or alternative formats

  • Option to work individually instead of in groups

  • Support for re-entry after absences

  • Behavior plan with positive reinforcement


For Students with Chronic Health Conditions


Medical Management:

  • Unlimited access to water and bathroom

  • Permission to eat snacks as needed

  • Self-administration of medication

  • Access to school nurse without restriction

  • Storage of medical supplies in classroom


Attendance and Academic:

  • Excused absences for medical appointments and illness

  • Extended time to make up work after absences

  • Modified deadlines during medical episodes

  • Reduced homework load during periods of illness

  • Priority registration for classes to avoid scheduling conflicts with treatment


Physical:

  • Modified physical education activities

  • Extra time for transitions between classes

  • Permission to leave class early to avoid crowded hallways

  • Access to elevator if needed


For Students with Learning Disabilities (Dyslexia, Dyscalculia, Dysgraphia)


Reading Supports:

  • Text-to-speech software

  • Audiobooks or digital texts

  • Extended time for reading assignments

  • Highlighted or annotated texts

  • Reduced reading load when appropriate


Writing Supports:

  • Speech-to-text software

  • Use of laptop or tablet for all written work

  • Graphic organizers for writing assignments

  • Extended time for writing tasks

  • Reduced length requirements when appropriate (without changing learning objective)


Math Supports:

  • Calculator for non-calculation tasks

  • Math fact charts or multiplication tables

  • Graph paper for alignment

  • Extended time for math tests

  • Concrete manipulatives


For Students with Physical Disabilities or Mobility Impairments


Physical Access:

  • Accessible classroom location (ground floor or near elevator)

  • Adaptive physical education

  • Modified participation in activities

  • Extra time between classes

  • Accessible seating and desk arrangements


Assistive Technology:

  • Specialized computer equipment

  • Adaptive keyboards or switches

  • Speech-to-text or text-to-speech software

  • Book holders or page turners


For Students with Sensory Impairments (Vision, Hearing)


Visual Impairments:

  • Large print materials

  • Magnification devices

  • Preferential seating for optimal viewing

  • Extra time for visual tasks

  • Braille materials if needed

  • Screen reader software

  • High contrast materials


Hearing Impairments:

  • Preferential seating near instruction

  • FM system or assistive listening device

  • Captioned videos

  • Visual alerts for auditory signals

  • Interpreter services if needed

  • Copy of notes or outlines


Related Aids and Services


Beyond accommodations, Section 504 requires schools to provide related aids and services, supportive services needed for the student to receive FAPE.


Behavioral and Mental Health Services


Counseling Services: Schools must provide counseling services to students with disabilities without discrimination. This may include:

  • Individual counseling sessions

  • Group counseling

  • Social skills training

  • Mental health support services


Social Work Services: Support from social workers for students whose disabilities impact their social-emotional functioning or require connection to community resources.


Behavioral Support Services: When behavior is disability-related, individualized behavioral supports may include:

  • Functional Behavioral Assessment (FBA) to understand the cause of behaviors

  • Behavioral Intervention Plan (BIP) with specific strategies

  • Training for staff on supporting the student

  • Crisis intervention procedures

  • Positive behavioral supports and reinforcement systems


Medical and Health Services


Medical Services for Diagnostic and Evaluative Purposes: The school must provide medical assessments needed to determine eligibility and services at no cost to parents.


Administration of Medication: Schools must permit and assist with medication administration when this is a related aid or service necessary for FAPE. This includes:

  • Allowing students to self-administer medication (inhalers, insulin, etc.)

  • School staff administering medication

  • Monitoring of medication effects


Individual Health Plans (IHP): For students with chronic health conditions, an Individual Health Plan must be incorporated into the Section 504 Plan. This includes specific procedures for managing the condition at school.


Texas-Specific Health Requirements: Schools in Texas have specific obligations for certain health conditions:


Diabetes Management:

  • A diabetes management and treatment plan must be developed with parent and physician

  • IHP is incorporated into the Section 504 Plan

  • Section 504 team (including school nurse if assigned) develops the plan


Seizure Management:

  • Parents may submit a seizure management and treatment plan developed with physician

  • School nurses in Texas must complete agency-approved online training on managing students with seizure disorders

  • Emergency procedures must be in place


Anaphylaxis:

  • School boards must create and adopt policy for care of students at risk for anaphylaxis

  • Policy based on Texas Department of State Health Services guidelines

  • Emergency action plans required


Mobility and Physical Services


Transportation: Transportation must be provided as needed for students with disabilities to access their educational program, including:

  • Accessible transportation

  • Accommodations on the bus (assigned seating, health monitoring)

  • Modified drop-off/pick-up arrangements


Occupational and Physical Therapy: For students with visual impairments not eligible under IDEA, or for students who need these services to access their education.


Orientation and Mobility Services: For students with visual impairments, orientation and mobility services help them navigate the school environment safely and independently.


Assistive Technology


Schools must provide assistive technology devices or services when necessary for FAPE:


Low-tech examples:

  • Pencil grips

  • Slant boards

  • Graphic organizers

  • Timers

  • Noise-canceling headphones


High-tech examples:

  • Computers or tablets

  • Text-to-speech software

  • Speech-to-text software

  • Communication devices

  • Specialized software for learning disabilities


One-on-One Support


In some cases, a student may need:

  • A one-on-one aide for safety or behavioral support

  • A health aide for medical needs

  • Support during specific activities (such as transitions or lunch)


Auxiliary Aids and Services for Effective Communication


Section 504, enforced consistently with Title II of the ADA, requires schools to ensure effective communication for individuals with disabilities by providing auxiliary aids and services.


The goal is to ensure communication is as equally effective for individuals with disabilities as it is for those without disabilities.


Examples of Auxiliary Aids


For students with hearing impairments:

  • Qualified sign language interpreters

  • Note takers

  • Real-time captioning (CART)

  • Written materials to supplement verbal communication


For students with visual impairments:

  • Braille materials

  • Large print materials

  • Screen reader software

  • Optical readers

  • Audio recordings


For students with communication disabilities:

  • Augmentative and alternative communication (AAC) devices

  • Communication boards

  • Speech-generating devices


For parents/guardians with disabilities:

  • Interpreters for meetings

  • Materials in accessible formats

  • Assistive listening systems


Access to All Programs and Activities


Section 504 ensures students receive equal access and equal opportunity to participate in all educational aids, benefits, and services.


Extracurricular Activities


Schools must provide equal opportunity for participation in:


Athletics:

  • Club sports

  • Intramural sports

  • Interscholastic sports

  • Necessary accommodations for participation (modified rules, equipment adaptations, health accommodations)


Clubs and Organizations:

  • Academic clubs

  • Special interest groups

  • Student government

  • Service organizations

  • Social clubs


Recreational Activities:

  • Recess and playground activities

  • After-school programs

  • School dances and social events

  • Field trips


Support Services


Counseling Services: Access to school counselors for:

  • Academic planning

  • Course selection

  • College and career counseling

  • Social-emotional support


Library and Media Services: Equal access to library resources with necessary accommodations (accessible computers, assistive technology, extended checkout).


Advanced Academic Programs


Students receiving Section 504 services have the right to participate in advanced programs with reasonable accommodations:


Advanced Placement (AP) Courses:


Dual Enrollment:

  • Participation in college courses while in high school

  • Accommodations in both high school and college settings


Gifted and Talented Programs:

  • Cannot be excluded solely because of disability

  • Accommodations provided within the program


Honors Courses:

  • Access with appropriate supports

  • Same grading and credit as students without disabilities


Program Access (Physical Accessibility)


While this may seem obvious, it's an important protection: Schools must ensure programs are accessible to students with disabilities.


For schools built before June 4, 1977: Programs must still be accessible to students with disabilities, often achieved by relocating activities. For example, moving a class to an accessible floor rather than requiring a student in a wheelchair to navigate stairs.


For all schools:

  • Accessible pathways to all programs

  • Accessible restrooms

  • Accessible technology

  • Modified equipment for PE and sports


Special Instruction for Behavioral Needs

When a student's disability impacts their behavior, specialized instruction may be necessary.


Behavioral Intervention Plans (BIP)


If evaluation shows that challenging behavior is caused by the student's disability, the Section 504 Plan must identify individualized behavioral supports, often documented in a BIP.


A BIP should include:

  • Results of a Functional Behavioral Assessment (FBA) identifying the function of the behavior

  • Specific preventive strategies to reduce problem behaviors

  • Replacement behaviors to teach (appropriate alternatives)

  • How staff should respond to behaviors (both desired and problem behaviors)

  • Positive supports and reinforcement systems

  • Data collection procedures

  • Crisis intervention procedures if needed


Purpose of behavioral supports:

  • Reduce or eliminate challenging behaviors

  • Teach acceptable replacement behaviors

  • Keep the student in the least restrictive environment

  • Prevent disciplinary removals for disability-related behaviors


How Services Are Determined


Remember, all services and accommodations must be:


1. Individualized: Based on your child's specific needs, not based on their diagnosis or what the school typically provides.

2. Evidence-Based: Supported by the evaluation data and ongoing progress monitoring.

3. Sufficient to Provide FAPE: Designed to meet your child's needs as adequately as non-disabled students' needs are met.

4. Implemented with Fidelity: Provided consistently and as written in the plan.


The Bottom Line


Section 504 provides access to a comprehensive range of services and accommodations:

  • Academic accommodations in presentation, response, setting, and timing/scheduling

  • Related aids and services including counseling, health services, and behavioral supports

  • Assistive technology from low-tech to high-tech solutions

  • Auxiliary aids for effective communication

  • Access to all programs including extracurricular activities and advanced academics

  • Health services with Individual Health Plans for chronic conditions

  • Behavioral supports including FBAs and BIPs when needed

  • Physical accessibility to ensure program access


The key is that services must be tailored to your child's individual needs and designed to provide equal access to educational opportunities. If education were a race, Section 504 ensures your child has the custom equipment, supports, and adjustments they need to run that race as effectively as everyone else.


Understanding what's available helps you advocate for the specific services your child needs to succeed.




Need Help Identifying the Right Accommodations for Your Child?


Our team can review your current plan and suggest practical, research-based supports. Learn more about our Special Education and Section 504 Advocacy Services or request a free consultation. 


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Accessible Education offers services solely in the areas of parent support, education advocacy, and educational consultation with professionals.  

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