SCHOOL ACCOMMODATION LETTER

[Practice name]
[Address]
[Phone and email]

Date: [Date you write the letter]

To: [Principal, school support team, or special education contact]
School: [School name]
Student: [Student's full name]
Date of birth: [Date]
Grade: [Grade]

CONSENT
[Parent or guardian name] asked me to write to the school and agreed to what this letter shares. [Student name] [also agreed, or knows about the letter, as fits their age and the law where you practise].

MY CONTACT WITH THE STUDENT
I am [student name]'s [pediatrician, family physician, psychologist, or other role] and have cared for them since [month and year]. My most recent assessment was on [date], [in person, by video, or by phone].
Other information I reviewed: [School reports, rating scales, specialist letters, or none]

HEALTH CONDITION
[Student name] has [the condition, or its general type, only as far as the family agreed to share], which is [long term, short term, or comes and goes].

HOW IT AFFECTS SCHOOL
Learning and attention: [What is harder, when, and how much, or no effect]
Attendance and stamina: [Expected late starts, absences, or fatigue, or no effect]
Mobility and physical activity: [Stairs, distances, gym, or no effect]
Safety: [What could go wrong during the school day, or no known risk]

SUPPORTS I RECOMMEND
[Each support on its own line, with one reason it helps, e.g. a quiet room for tests, because noise breaks focus within minutes]
Other supports that could meet the same need: [Alternatives, or none known]
The school team decides which supports to put in place and how. I am glad to answer its questions about them.

CARE DURING THE SCHOOL DAY
Medication at school: [Name, dose, and time, or none during school hours]
Food, drink, washroom, and rest: [What the student needs, and when]
Warning signs and emergency steps: [What staff should watch for, what to do first, and who to call, or not applicable]
School forms: [Medication or care plan forms I have completed or will complete]

REVIEW
Likely to be needed for: [The rest of this school year, a number of months, or long term]
I will review these needs by: [Date, or the visit when I will review them]

To discuss this letter, with the family's consent, call [practice phone].

[Your name, credentials]
[License or registration number]
[Signature]