Letter of Recommendation

   504 Plan Recommendation Physician

To Whom It May Concern,

Having seen _______________ as my patient since birth, I am confident in my formal diagnosis of _______________. As a result, _______________ should be given a 504 plan.

_______________'s medical needs include _______________. Components of a 504 plan for this child must include: _______________.

Please ensure that _______________ receives a safe and appropriate education and approve the 504 plan without hesitation.

Sincerely,

{Name}

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