1. Here is an example of a 504 plan. This is definitely worth having if you’re in school!

    College 504 Plan Template and Potential Items  

    (adapted from public school 504 template created by Judith 

    Leventhal, PhD, Leo Shea III, PhD, Janis Arnold, LICSW, Sharon 

    Farkas, Beth Sher, and Jennifer Jaff, Esq.) 

    Section 504 Plan for : ___(Student  Name)____

    University  _______________________________ 

    Academic Year/Term  ___________________________ 

    Nature of the Disability 

    This student has a form of Inflammatory Bowel Disease (“IBD”) called 

    ________________ (Crohn’s Disease or Ulcerative Colitis). IBD is a 

    chronic disease affecting the intestines. Ulcerative Colitis affects the 

    colon; Crohn’s Disease can affect any part of the digestive track, from 

    the mouth to the anus. It impacts the major life activity of disposing 

    of bodily waste.  

    Although its cause is unknown, IBD involves the immune system and 

    causes inflammation and ulceration of the lining of the intestines. The 

    emotional and physical pieces are interrelated in complex ways, and 

    patients can experience flare-ups during times of emotional tension 

    and stress. Changes in cognitive function from chronic or acute pain, 

    or side effects of strong medications, can include compromised 

    attention and concentration, reduced capacity to process information, 

    disruptions in memory and reduced ability to multitask are also 

    manifestations of this disease. Changes in physiological functioning of 

    the gastrointestinal tract characteristic of this disease can be 

    exacerbated during period of environmental and/or psychological 

    stress. The stress in/and of itself does not cause the disease. 

    Treatments can include immuno-suppressant drugs that render 

    patients more susceptible to illness and intensify reductions in 

    neurocognitive functioning described above. Patients may be on a 

    restricted diet; may need to eat several small meals per day; and 

    most likely will need to take medication during the course of the day. 

    Some treatments are provided intravenously in the outpatient 

    hospital setting that may cause a student to miss certain courses at 

    recurrent times.  

    Although surgery is avoided to the extent possible, students affected 

    by IBD may require surgical intervention, including surgical revisions, 

    resections ore removal of portions of the digestive track. 

    Students with surgical resections of the intestines may suffer from the lack of a normal length of intestine, especially when part of the 

    small intestine has been removed. These students may suffer 

    particularly altered bowel demands, again necessitating easy access 

    to the bathroom. 

    Often, students with IBD work extremely hard to compensate for 

    their illness and its effects on daily functioning. Students with active 

    IBD will need to use the bathroom several times a day, often on a 

    moment’s notice, in order to avoid fecal incontinence. Incontinence 

    still may occur, and students who are impacted by this symptom will 

    need to be able to clean themselves and change clothes during the 

    day.  

    IBD is a chronic illness that is cyclical; patients can face associated 

    gastrointestinal symptoms in a recurrent pattern, with periods of 

    symptom inactivity in between active flare-ups and complications. 

    Symptoms may worsen in an unpredictable manner and conversely, 

    may go into remission for varying lengths of time. Medications can 

    help manage the discomfort and inflammation and improve 

    functioning, but are not cures for IBD. 

    Introduction to the Plan 

    This is a Plan developed under Section 504 of the Rehabilitation Act of 

    1973 (“Section 504”), the Americans with Disabilities Act (“ADA”), 

    and the Individuals with Disabilities Education Act (“IDEA”) to identify 

    the health care-related needs of the student, as well as services and 

    accommodations to be provided to the student. 

    ________________________ shall be the point person at the 

    university for purposes of carrying out the provisions of this Plan. This 

    person shall be known as the Plan Coordinator. The Plan Coordinator 

    will educate him/herself about the nature of IBD, the treatments the 

    student is receiving, the side-effects of the treatments, and the 

    student’s particular symptoms and needs. In addition, the Plan 

    Coordinator shall be responsible for ensuring that the provisions of 

    this Plan are carried out and he/she shall be the liaison between the 

    student, and the relevant university personnel. 

    For purposes of this Plan, __________ (the student) is a person with 

    a disability under Section 504 and the ADA. He/she is significantly 

    impaired in performance of the major life activity of disposing of 

    bodily waste. 

    The purpose of this Plan is to maintain the student’s optimal 

    participation in his/her academic curriculum and educational goals, 

    aid in the management of his/her illness, and reduce the student’s 

    stress.  

    The Plan Coordinator and Due Process Rights 

    The Plan Coordinator will help make available a copy of this Plan, with 

    the student’s permission, to any relevant professors, teaching 

    assistants.   

    If the Plan Coordinator is unable to obtain compliance with this Plan 

    by any professor other university personnel, he or she shall notify the Dean of Students. The Dean shall respond to each such 

    communication from the Plan Coordinator within two (2) in-session 

    school days with a plan for reconciling the interference with the 

    student’s educational mandates.  

    If the Dean declines to adopt any element or portion of the 

    recommended action plan, he or she shall put his or her reasons in 

    writing within two (2) in-session school days of receipt of the 

    recommended action plan, and this writing shall be sent to the 

    student and Dean.  

    Both the student and Plan Coordinator shall have the authority to 

    request a due process hearing if the Dean declines to accept the Plan 

    Coordinator’s action plan.  This hearing shall be in addition to, not 

    instead of, any due process rights the student has under the ADA, 

    Section 504, and/or 

    the IDEA. 

    The Student’s Symptoms and Needs 

    ________________________ (the student) has the following 

    symptoms and needs, which may change over time: 

    _____ Diarrhea (estimated ___ bathroom trips per day) 

    _____ Pain and cramping (rated a ___ out of 10, with 10 being the 

    worst) 

    _____ Fatigue 

    _____ Nausea 

    _____ Vomiting (estimated ___ times per day) 

    _____ Student has had surgery (___ times) 

    _____ Student has an ostomy or other surgical revision of the 

    digestive track 

    _____ Student takes medication during the day 

    List medications and dosages here: 

    _______________________________________________________

    _______________________________________________________ 

    _______________________________________________________

    _______________________________________________________ 

    _____ Student has dietary restrictions 

    Explain here: 

    ____________________________________________________ 

    _______________________________________________________ 

    _______________________________________________________

    ________________________________________________ 

    _____ Student receives treatments/office visits that require absences 

    from campus/courses 

    Estimated Frequency: every ____ weeks 

    Expected duration of absence: ___ days per treatment 

    Student requires university personnel assistance with: 

    ___ medication 

    ___ dietary needs 

    ___ ostomy or other pouch emptying and cleaning 

    ___ Other (specify): 

    _____________________________________________ _______________________________________________________

    Side effects of student’s particular medications may cause/impact: 

    ___ Headaches 

    ___ Difficulty focusing, concentrating, sustaining attention 

    ____Hand/Limb tingling or tremors 

    ___ Other (specify): 

    _____________________________________________ 

    _______________________________________________________

    ____________________________________________________ 

    _______________________________________________________

    _______ 

    Potential Accommodations (select as necessary/relevant) 

    1. The student will be permitted free access to leave courses for   

    use of the restroom, without asking permission, and without 

    penalty. 

    2. If a student bathroom is not immediately available, the 

    student is permitted to have access to a more private 

    bathroom if available, such as staff bathroom. This will help to 

    reduce anticipatory anxiety during times of active flare-ups 

    related to the socially embarrassing nature of some of the IBD 

    symptoms. If school bathrooms are locked for security 

    reasons, the student will have access to a key to other 

    bathrooms closer to the student’s room or lecture hall. 

    3. University Health Services provide the student with a place to 

    lie down if necessary during the day.  

    4. The student will be permitted to carry and drink water, eat 

    snacks (to treat dry mouth or respond to side effects of 

    medications) during a course. 

    5. The student will be permitted to administer his/her own 

    medications on campus. 

    a. If for medical reasons the student is not permitted to 

    administer his/her own medications, the medications 

    will be left with a UHS nurse, who will administer them 

    to the student at times consistent with prescribing 

    instructions.  

    b. If UHS staff requires training in administration of the 

    student’s medication, the Plan Coordinator shall ensure 

    that UHS staff receives such training within ten 

    business days of the date of this Plan. 

    6. Student will be allowed “stop the clock testing.” “Stop the 

    clock testing” means that, when the student is sitting for a 

    timed exam, if he/she needs a bathroom break or a break due 

    to pain, the time for completing the test will be extended by the amount of time the student spends away from the testing 

    room.  

    a. This accommodation shall be provided without penalty. 

    7. If, because of his/her IBD symptoms or medical treatments, 

    the student is unable to take an exam or submit a major 

    project on a given day, the exam or major project deadline 

    will be rescheduled. Cumulative term grades will not be 

    determined until the student has had opportunity to take the 

    make-up exam or complete the major project. This 

    accommodation shall be provided without penalty and apply to 

    course exams, term papers and projects when reasonably 

    agreed upon. 

    8. Consideration should be given to the number of major exams 

    for which the student is required to sit on the same day.  

    9. It would be the student’s responsibility to advise the Plan 

    Coordinator of all planned exams by the professors. If an 

    exam needs to be rescheduled, the Plan Coordinator will 

    facilitate the student’s efforts with professors.  

    a. Consideration should be given to the number of major 

    projects due on the same day.  

    b. It would be the student’s responsibility to advise the 

    Plan Coordinator of all planned projects by the 

    professors.  

    c. If a major project needs to be rescheduled, the Plan 

    Coordinator will facilitate the student’s efforts with 

    professors.  

    d. “Major projects” are defined as those that are assigned 

    more than one week before they are due. If the 

    student is unable to meet a deadline on any project 

    due to anything unanticipated related to his/her IBD 

    symptoms and treatment requirements, the project 

    deadline will be rescheduled. This accommodation shall 

    be provided without penalty. 

    10. The student will be given assistance to help him/her make up 

    any course 

    a. Time/lecture halls missed due to the student’s IBD, as 

    set forth below.  

    b. After a student notifies professors of symptom 

    interference with course participation, the Plan 

    Coordinator will help ensure that , if relevant, each 

    professor make available an updated syllabus, lesson 

    plans, new assignments, and copies of all visual aids, 

    and written homework assignments within 48 hours of 

    when they were requested by the student. This would 

    also apply to instances where the student is present, 

    but unable to take notes due to difficulty concentrating 

    or writing, or when the student is out of the classroom 

    to take care of medical or bathroom needs. 

    11. Any and all make-up work shall be designed to show the 

    student’s competence in the subject area; quality rather than 

    quantity of the make-up work shall be emphasized. A professor shall have the right to waive, modify, substitute or 

    amend assignments so as to facilitate the student’s ability to 

    catch up on missed work. This accommodation shall be 

    provided without penalty. 

    12. The student will not be penalized for tardiness or absences 

    required for medical appointments and/or illness. If a 

    professor decides that a portion of a term grade for all 

    students is awarded based on attendance, the student will 

    remain eligible for maximum credit of that portion of the grade 

    if his/her only absences are due to medical appointments 

    and/or treatment 

    13. Often times, it is difficult to carry heavy books back and forth, 

    or around to all courses for the length of the day. This may be 

    relevant if disease activity impacts bone density, or the 

    student’s weight or causes fatigue. Where available, the 

    student will be permitted to use an elevator to get to classes 

    held on various levels of the school in a timely fashion. 

    14. The student will not be discouraged from engaging fully in all 

    campus activities, and will not be discouraged from taking 

    medication on time, eating snacks when medical indicated, 

    complying with all dietary restrictions, taking bathroom 

    breaks, or any of the other accommodations set forth above. 

    All of the provisions of this plan shall be provided without 

    penalty to the student. 

    15. Seating will available to the student for easy access to the 

    classroom door to facilitate bathroom breaks and reduce 

    anticipatory anxiety. The student may alter location in 

    professors-assigned classroom seating charts, as well, if a 

    neighboring student has or appears to have a communicable 

    illness. 

    16. The university shall notify the student of a known outbreak of 

    chicken pox or other infectious disease as to which the student 

    is at a greater risk due either to IBD or immuno-suppressant 

    medication. 

    17. The student shall be permitted to carry a cellular telephone, 

    and be allowed to use it in an emergency that precludes the 

    student from reaching a school telephone to contact medical 

    team members.

    18. Any professor or other university personnel having questions 

    about this Plan shall raise those questions with student first, 

    and the Plan Coordinator, if necessary. If the Plan Coordinator 

    believes that there are concerns that are not addressed in this 

    Plan, the Plan Coordinator shall notify the student and 

    schedule a meeting that shall include the student. 

    19. Academic accommodations necessitated by changes in 

    cognitive functioning due to IBD symptoms/diagnosis must be 

    addressed and considered separately on a case-by-case basis. 

    Emergency Contacts In case of a medical emergency, university personnel will notify the 

    Plan Coordinator, who will call ______________ at the following 

    telephone number(s): 

    Home: _________________ 

    Work: _________________ 

    Cell: __________________ 

    Other: _________________ 

    Signed: 

    __________________________    

    __________________________ 

    Student Plan Coordinator 

    __________________________     

    ____________________________ 

    Dean of Students/representative      

    UHS staff  

    Date_____________