Skip to navigation menu Skip to content
  • MyChart
  • Telemedicine
  • Healthcare Professionals
  • Careers
  • Alerts
  • Donate Now
  • I want to …
      • Go to MyChart
      • Find a Doctor
      • Make an Appointment
      • Find a Location
      • Visit ED or Urgent Care
      • Get Driving Directions
      • Refill a Prescription
      • Contact Children's
      • Pay My Bill
      • Estimate My Cost
      • Apply for Financial Assistance
      • Request My Medical Records
      • Find Patient Education
      • Volunteer
      • Donate
      • Refer and Manage a Patient
Search
Search
  • Your Visit
  • Conditions
  • Clinics
  • Research
  • Health & Safety
  • Giving
  • Press Room
  • I want to …
      • Go to MyChart
      • Find a Doctor
      • Make an Appointment
      • Find a Location
      • Visit ED or Urgent Care
      • Get Driving Directions
      • Refill a Prescription
      • Contact Children's
      • Pay My Bill
      • Estimate My Cost
      • Apply for Financial Assistance
      • Request My Medical Records
      • Find Patient Education
      • Volunteer
      • Donate
      • Refer and Manage a Patient
Donate Now
  • Main Menu
  • On This Page

    Jump to a section on this page:

Accessing Services to Support Your Child’s Development: School Age

  • Español PDF

Children with some craniofacial conditions may need support to do activities, communicate or learn in a general education classroom. Your child’s craniofacial team will work with you to determine if your child’s condition puts them at risk for hearing, speech or other learning differences.

Your child may qualify for special services that provide support as they learn and grow. The goal for all children with craniofacial conditions is to be able to access the general education curriculum for their grade level.

What support can the school provide?

There are local, state and federal laws to support your child in school. Once a child turns 3, they can receive specialized support through the school district until they are 21 years of age. Your child may qualify for support at school through either an Individualized Education Plan (called IEP) or a 504 plan.

Individualized Education Plan (IEP)

An IEP describes services that your child receives in a special or regular education setting. It includes specific goals for them to work on during the year. It describes support needed to achieve them, including school-based therapies and specially designed instruction.

Key school staff and you develop the IEP. The team meets, reviews the assessment information about your child and designs a program to address your child’s needs. The school district monitors and manages the IEP. A federal special education law called the Individuals with Disabilities Education Act (IDEA) governs IEPs.

504 Plan

A 504 plan is different from an IEP. A 504 plan is a list of accommodations that a student needs in their regular education classroom. The school and district specialists manage the 504 together. A federal civil rights law called Section 504 of the Rehabilitation Act of 1973 governs 504 plans.

How will I know which plan my child needs?

School staff will work with you to decide which plan is best for your child. This may include your child’s teacher, school counselor, school psychologist, special education teacher or coordinator, or school-based therapists. The decision-making process may include evaluating your child and reviewing their academic and other related information. You have a right and responsibility to participate in the meetings.

What are the types of services may be available to my child?

The types of services, modifications or accommodations your child may qualify for include:

  • Assistive technology
  • Learning supports in reading, writing or math
  • Behavior plans
  • Extended time on tests and assignments
  • Planning and organizational skills
  • Preferential seating
  • Room modifications
  • Social skills support
  • Speech, occupational or physical therapy
  • Visual aids

How do I start the process?

The process to develop a 504 plan is simpler than the IEP process. Some districts do not require a full evaluation for a child to receive a 504 plan, but some districts do. The IEP process is more complex and can be broken into the following 7 steps:

1. Pre-referral

Talk to your child’s teacher about your concerns. The teacher will document your child’s challenges. They will try different techniques to see how your child responds to support. The teacher will monitor your child’s progress in the regular classroom to determine if the support is helping.

2. Referral

If your child needs further support, the teacher will refer your child for an IEP. As a parent, you can also request an evaluation for an IEP. Parents, nurses, physicians, counselors, psychologists, audiologists or other staff member can all request referrals.

3. Identification

The school will conduct an assessment to determine if your child needs services. It will document your child’s baseline skills, strengths and areas of need.

4. Eligibility

The school team will determine if your child is eligible for special services and areas of support.

5. Development of IEP

Each specialist will create goals and a specific plan to meet your child’s individual needs. The school will discuss the plan with you during an IEP meeting.

6. Implementation of IEP

Your child begins receiving their services.

7. Review of IEP

The school reviews your child’s IEP to make sure they are following the plan, and it meets your child’s needs. The school will review the IEP every year. The law requires re-evaluation for an IEP every 3 years. You can ask for an updated IEP plan at any time.

What if my child does not attend a public school?

Children who are home-schooled or attend private school can receive support from the public school. Private schools are not required by law to provide IEP and 504 plan services. Your local school district is responsible for evaluating your child to see if they are eligible for special services.

The public school can provide services and accommodations under an IEP if your child qualifies. Your child may need to go to the closest public school to receive special services, or specialists from the local school may provide services in a different setting. For more information, contact your local public school district.

Where can I get more Information?

Find out more about special services in:

Alaska:

  • Special Education
    education.alaska.gov/sped

Idaho:

  • Special Education
    sde.idaho.gov/sped

Montana:

  • Special Education
    opi.mt.gov/Educators/School-Climate-Student-Wellness/Special-Education

Washington:

  • Special Education
    ospi.k12.wa.us/student-success/special-education
  • Education Ombudsmen
    oeo.wa.gov
  • Model Forms for Services to Students in Special Education
    ospi.k12.wa.us/student-success/special-education/program-improvement/model-forms-services-students-special-education
  • Parents Amplifying Voices in Education(PAVE)
    dcpave.org/who-we-are

Wyoming:

  • Special Education Programs
    edu.wyoming.gov/parents/special-education/

To Learn More

  • Craniofacial Center
    206-987-1117
  • Ask your child’s healthcare provider
  • seattlechildrens.org/patient-education

Free Interpreter Services

  • In the hospital, ask your nurse.
  • From outside the hospital, call the toll-free Family Interpreting Line, 1-866-583-1527. Tell the interpreter the name or extension you need.
Seattle Children's Hospital

Seattle Children’s offers free interpreter services for patients, family members and legal representatives who are deaf or hard of hearing or speak a language other than English. Seattle Children’s will make this information available in alternate formats upon request. Call the Family Resource Center at 206-987-2201. This handout has been reviewed by clinical staff at Seattle Children’s. However, your needs are unique. Before you act or rely upon this information, please talk with your healthcare provider.

© 2026 Seattle Children’s, Seattle, Washington. All rights reserved.

01/01/2024
PE3343
Patient and Family Education | Craniofacial Center

Download Instructions

To download as a PDF, choose "Save as a PDF" in the print dialog, then click "Save".

screenshot of print dialog

About Us
  • About Seattle Children’s
  • Contact Us
  • Locations
  • Visiting Seattle Children’s
  • Press Releases
  • Growing for Future Grown-Ups
  • Price Transparency
Community
  • Healthcare Professionals
  • Events
  • Classes
  • Volunteering
Experience and Outcomes
  • Advancing Healthcare Experience and Outcomes
  • Values
  • Nondiscrimination and Interpreters Notice
  • Accessibility and Special Needs
About This Site
  • About This Website
  • Feedback
  • Terms of Use
  • Privacy
  • My Health My Data
  • Notice of Privacy Practices
  • Employees
  • Working From Home and Remote Access Help
  • Vendors

©2026 Seattle Children’s Hospital

4800 Sand Point Way NE, Seattle, WA 98105

206-987-2000 866-987-2000 (toll-free) 206-987-0391 (TTY)

U.S. News & World Report Best Children's Hospitals Honor Roll Badge Forbes America's Best Large Employers Magnet Recognized Nursing Program Children's Miracle Network Hospitals

Seattle Children’s complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.