
504 Form
Medical Accommodation Request Form
Students may have a medical diagnosis that warrants a 504 plan. If your child has previously had a 504 plan, please make sure to send in updated paperwork at the beginning of the school year. If you think your child may need a 504 plan, please fill in the paperwork here and contact Ms. Ciarniello: 718-648-4016 ext 1383 or email msciarniello@queenscollegiate.org