Another thought -

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I emailed the 6th grade counselor, and she emailed back "6th grade teachers must learn how the disability manifests in the school setting to be sure that there is something that must be reasonably accommodated. Doctor recommendations are appreciated, and would be considered by the team, but not passed into effect unless truly warranted."

You asked the counselor - is the counselor the school's 504 coordinator? If not, I'd consider sending another email to *both* - address the email to the 504 coordinator and cc the 6th grade counselor. Make it brief - state your reason for wanting to update the 504, state the additional accommodation you are requesting, provide a quote from any eval you have which backs up the need for the change, and also provide an example of what happens re anxiety occurs over this.

You might also want to contact a local advocate before you send the email to find out if there's really any way around the 2 week wait in your district, and to get advice on what specifically to request in the updates to the accommodations. FWIW we were in a similar situation last year and when I consulted a lawyer from our state's disabilities legal assistance group, I was told that waiting 2 weeks so that teachers could get to see how the student was impacted in the new year's school setting was legal. I am most likely not stating it correctly (I'm soooo not a lawyer lol!)... but I was told that 504s are "living" documents which will change as situations change. The "wait" was appropriate in that it was a new school year, new teachers, new classroom etc and it was a valid concern on the part of the school to see what the needs for accommodation were in the new environment. This isn't, however, the same thing as saying there isn't a disability and FAPE doesn't have to be provided - my ds was given the same accommodations during that time period that he had been given in his previous school. The team just needed the time to have some "data" re how he was impacted in the new school environment. The things that were obviously required for ds (for instance, he has to use keyboarding to write) he was allowed to do - because he had used them previously and had clear documentation stating that he needed them. Updates/changes/tweaks/new requests needed to wait until everyone (including ds) had a chance to see how the new environment played out.

I also, quite honestly, suspect that part of the issue at the beginning of the school year is that there are a *lot* of 504 meetings going on (in our school district) - because that's the time of year the existing 504 plans are reviewed as well as new students coming in needing new plans.

polarbear