504 Plan (Form 504-G): OT and/or PT may relate to the following:

4. Accommodation(s) (actions or services to meet the educational needs of the student)

(Examples):

  • Modify writing utensils / tools
  • Modify writing materials
  • Modify eating utensils / drinking devices
  • Modify art materials
  • Modify table / chair / desk / computer station for appropriate seating / positioning
  • Modify bathroom area to include grab bars / toilet seat modifications / sink access / door access / storage supplies
  • Modify backpack / locker for adequate access to and transport of school materials
  • Assess and recommend modifications for building access such as ramps, elevators, or door openers
  • Assess and recommend modifications for cafeteria line access and transport of tray / drinking fountains
  • Assess and recommend playground modifications for access
  • Assess and recommend mobility aids and/or benches for resting
  • Develop emergency evacuation plan
  • Assess and recommend modifications re: safety risks in the school environment, such as slippery surfaces, open stairways, railings on stairs
  • Assess and recommend modifications for locker room / swimming pool / shower access
  • Schedule planning for energy conservation
  • Schedule planning for movement breaks to support self-regulation
  • Classroom modifications to decrease auditory and/or visual inputs
  • Provide sensory tools / manipulatives
  • Modify materials to support organization
  • Provide portable keyboard for assignments greater than one paragraph

(see next page)

5. Interventions to be implemented (Examples):

Intervention / Staff member implementing / Setting/Location
Staff training in self-regulation strategies, 2 hours, first month of 504 Plan / OT name / Regular ed setting
Staff training in modified tool / writing materials use, 1 hour, first 2 weeks of 504 Plan / OT name / Regular ed setting
Staff training in seating / positioning, 1 hour, first 2 weeks of school year / OT or PT name / Regular ed setting
Staff training in energy conservation strategies, 1 hour, first 2 weeks of 504 Plan / OT or PT name / Regular ed setting
Staff training in emergency evacuation plan, 1-30 minute session each semester / PT name / Regular ed setting
Direct instruction to student in self-regulation strategies, 2-30 minute sessions / week, first 3 months of 504 Plan / OT name / All settings
Direct instruction to student in energy conservation strategies, 1-30 minute session / week, first 2 months of 504 Plan / OT or PT name / Separate environment
Direct instruction to student in gait aid use, 2-30 minute sessions / week, first 2 weeks of 504 Plan / PT name / Separate environment

5-21-12