Please use this form to request a 504.  This is the first step of the referral process and must be completed by either the parent/guardian or the teacher of record.  Heartwood Charter School is not mandated by law to provide assessments or observations by a certain date once the referral request has been made, however, our goal is to begin the process at least 4 weeks from the date the request is made.

The Rehabilitation Act of 1973, commonly referred to as “Section 504”, is a nondiscrimination statute enacted by the United States Congress.  The purpose of the Act is to prohibit discrimination and to assure that disabled students have educational opportunities and benefits equal to those provided to non-disabled students.

An eligible student under Section 504 is a student who a) has, b) has a record of having, or c) is regarded as having, a physical or mental impairment which substantially limits a major life activity such as learning, self-care, walking, seeing , hearing, speaking, breathing, working, and performing manual tasks.