I KNOW 504's are hard to enforce. But it is the only option that we seem to have with regard to Jessie. She has Absence epilepsy, migraines, IBS, and gets EVERY virus that comes down the pike. The school says that a doctor note saying she has migraines is nice, but they still want/need a note every time seh is absent. Also every time seh vomits they want a doctor's note. If she doesn't get her midrin with-in 10 minutes of the onset of a migraine, or it is there when she wakes up, she has to stay home for 24 hours. And they have to have a doctor's note that she is staying home due to vomiting. I am SOOO tempted to pull her out and homeschool. BUT she loves it, and my health is not going to make it a great success (homeschooling). What kind of leverage/rules/laws can apply here to help with the attendance issues? I do NOT keep her home unless I KNOW (as in I SEE) she is vomiting. For migraines I try my darnedest to get her to school. But I am feeling pretty hopeless here. If her grades are fine (and they are) but she misses another day, they will flunk her, even with a doctor's note!!!! THis is what the latest letter says. Should I ask for homebound options, other things? I don't know what to ASK for in this plan. It has taken me 15 phone calls to even get to talk to the nurse who does the plans. And she has only had this job for 4 weeks, so she doesnn't know the laws, just what the school district says. Thanks!