About Other Health Impairment (OHI) and IEP Accommodations

Other Health Impairment (OHI) is an IEP eligibility category for students with chronic or acute health conditions that limit alertness and affect educational performance. This includes ADHD, epilepsy, diabetes, asthma, sickle cell anemia, Tourette syndrome, and many other conditions.

Because OHI covers a wide range of conditions, accommodations must be specific to your child's needs. A student with ADHD needs different supports than a student with epilepsy. The IEP team should understand how your child's specific condition affects their school day and build accommodations around those impacts.

If your child has a health condition that affects their energy, attention, attendance, or ability to participate in school activities, they may qualify under OHI. Request an evaluation that includes input from your child's medical providers. A letter from your child's doctor describing how the condition affects learning can support the evaluation process.

All Other Health Impairment Accommodations

79 accommodations for students with Other Health Impairment, with plain-English explanations for parents.

Administer test in separate, quiet location

Your child takes tests in a quiet room away from distractions and other students, which helps them focus and do their best.

Testing & Assessment

Administer test over multiple days or shorter sessions

Your child takes the test broken into smaller chunks over several days instead of all at once, so they don't get fatigued or overwhelmed.

Testing & Assessment

Offer frequent breaks during test administration

Your child can take breaks to stretch, move around, or rest during testing without losing testing time.

Testing & Assessment

Schedule test at specific time of day (e.g., morning)

The school schedules your child's test at a time when they're usually most alert and focused, such as early morning.

Testing & Assessment

Allow untimed or self-paced testing

Your child can take as much time as they need to complete the test without being rushed or pressured by a timer.

Testing & Assessment

Provide large print or magnified digital text displays

Your child's reading materials and tests are displayed in much larger print so they can see the words clearly.

Assistive Technology & Communication Devices

Allow extended time (1.5x or 2x) on tests and quizzes

Your child gets extra time (usually 1.5 or 2 times the normal amount) to finish tests and quizzes, so they can show what they really know without time pressure.

Time Management & Transitions

Allow extended time to complete in-class and homework assignments

Your child is given extra time to finish work during class and at home, without it counting against them or being marked late.

Time Management & Transitions

Provide frequent breaks (every 5–10 minutes) during independent work

Your child takes brief breaks every few minutes during work time to reset and refocus, which helps them stay on task longer.

Time Management & Transitions

Allow breaks during testing (every 10–15 minutes)

Your child can pause and step away from tests every 10–15 minutes to stretch, breathe, or reset before continuing.

Time Management & Transitions

Allow extended time to move between classes or to and from lunch

Your child gets a few extra minutes to get to the next class without rushing or using stairs/hallways when they're crowded.

Time Management & Transitions

Allow extended time in the bathroom (including timed bathroom breaks)

Your child can take bathroom breaks at set times (e.g., every 60–90 minutes) without it interrupting instruction, or gets extra time when needed.

Time Management & Transitions

Allow movement breaks or opportunities to stand and stretch during instruction

Your child can stand, walk, or do a quick stretch during lessons to help them stay focused and manage restless energy.

Time Management & Transitions

Provide opportunities for movement or change of activity between subjects

Your child gets a brief movement activity (like a walk or stretch) between different subjects to help reset their attention.

Time Management & Transitions

Allow extended time during meals or self-feeding activities

Your child is given unhurried time during lunch or snack to eat at their own pace without pressure.

Time Management & Transitions

Schedule preferred or important subjects during optimal times of day

Your child takes key classes (like math or reading) in the morning when they are most alert, and easier subjects later.

Time Management & Transitions

Provide a pass system to leave class for breaks without permission each time

Your child has a pass they can use to take a brief break (bathroom, walk, quiet space) without asking the teacher each time.

Time Management & Transitions

Provide time-of-day or day-of-week flexibility for assessments

Your child can take tests on mornings (when fresher) or earlier in the week (when less fatigued), rather than a fixed schedule.

Time Management & Transitions

Allow extended time for eating and self-care activities throughout the day

Your child is given unhurried time for getting dressed, washing hands, eating, and other daily care tasks.

Time Management & Transitions

Provide a private signal or code word to redirect behavior discreetly

The teacher will use a quiet signal (like a hand gesture or word) that only your child understands to let them know their behavior needs to change, avoiding embarrassment in front of peers.

Behavior & Emotional Regulation

Use immediate, concrete positive reinforcement for desired behaviors

When your child shows good behavior, they get a reward (points, sticker, or preferred activity) right away so they clearly understand what they did right.

Behavior & Emotional Regulation

Develop a written behavior contract with clear expectations and consequences

You, the school, and your child agree to and sign a plan listing specific behaviors expected, rewards for meeting them, and consequences if they're broken.

Behavior & Emotional Regulation

Implement a Behavior Intervention Plan (BIP)

The school creates a detailed plan targeting your child's specific challenging behaviors, including triggers, prevention strategies, and responses that all staff will use consistently.

Behavior & Emotional Regulation

Use environmental modifications (seating, noise, lighting, movement)

The classroom is arranged to reduce distractions (like quiet seating, less visual clutter, or near movement areas) so your child can focus and regulate behavior better.

Behavior & Emotional Regulation

Allow movement breaks or fidget tools to manage restlessness

Your child can take short movement breaks, use a fidget tool, or stand/move while working to help them focus and regulate their energy.

Behavior & Emotional Regulation

Provide sensory breaks or sensory diet activities throughout the day

Your child gets scheduled breaks to engage in sensory activities (like swinging, deep pressure, or quiet time) that help calm and organize their nervous system.

Behavior & Emotional Regulation

Modify school rules that may unfairly impact your child's disability

If a school rule conflicts with your child's disability (like a 'no fidgeting' policy for an ADHD student), the school adjusts the rule to ensure equal access.

Behavior & Emotional Regulation

Provide preferential seating near teacher or instruction area

Your child will sit in a location chosen to help them learn best—typically closer to the teacher or board—so they can see, hear, and focus better.

Classroom Environment & Seating

Seat student away from distracting elements (doors, windows, speakers)

Your child will be positioned away from high-traffic areas and noises so they can concentrate without being disrupted by movement or sounds.

Classroom Environment & Seating

Provide a study carrel or desk divider for focus support

Your child will have a three-sided visual barrier at their desk to block distracting sights and help them concentrate on their work.

Classroom Environment & Seating

Reduce visual distractions in the classroom (limit posters, clutter)

The teacher will minimize unnecessary posters, decorations, and clutter in the classroom to reduce visual overstimulation that can distract your child.

Classroom Environment & Seating

Provide a quiet corner or calm-down space in the classroom

Your child has access to a designated quiet area where they can go when overwhelmed or overstimulated to regain focus and calm down.

Classroom Environment & Seating

Allow extra personal space between student's desk and others

Your child's desk will be spaced farther apart from nearby students to reduce sensory overwhelm and physical discomfort in crowded environments.

Classroom Environment & Seating

Allow student to leave class 2-3 minutes early to avoid crowded hallways

Your child can exit the classroom a few minutes before the bell so they avoid the chaos of crowded hallways, which helps reduce anxiety and sensory overload.

Classroom Environment & Seating

Provide ergonomic seating with proper desk/table height

Your child will have a desk and chair adjusted so their feet rest flat on the floor and elbows are at table height, reducing fatigue and improving focus.

Classroom Environment & Seating

Minimize auditory distractions during instruction time

The teacher will keep the classroom quiet during key learning times so your child can focus without background noise interfering with instruction.

Classroom Environment & Seating

Ensure physical classroom accessibility for mobility needs

The school will ensure your child's classroom has accessible pathways, seating, and facilities so they can move around safely and independently.

Classroom Environment & Seating

Allow movement breaks and use of flexible seating options

Your child can move to different seating positions (standing desk, wobble cushion, bean bag) or take brief movement breaks to help them focus and manage restlessness.

Classroom Environment & Seating

Provide assistance with transitions between classrooms/spaces

An adult will help your child move between classrooms and around the building, providing guidance and reducing anxiety about transitions and crowded hallways.

Classroom Environment & Seating

Assign classroom helper or peer buddy to support navigation

Your child will have a peer buddy or classroom helper to assist them during transitions, unstructured times, and when navigating social situations.

Classroom Environment & Seating

Offer proximity seating near teacher for behavior monitoring

Your child will sit close to the teacher so the teacher can provide immediate feedback, reminders, and support to help them stay on task and regulated.

Classroom Environment & Seating

Allow extended time for medication administration or medical procedures during the school day

Your child can take time during the school day to take medication, use medical equipment, or receive treatments without losing instructional time or facing penalties.

Health, Medical & Physical Accessibility

Provide nurse or trained staff support for tube feeding, catheter care, or stoma management

A school nurse or trained aide will administer tube feedings, catheter care, or stoma care during the school day so your child receives necessary medical support.

Health, Medical & Physical Accessibility

Allow use of prescribed medications (inhaler, EpiPen, etc.) during tests and activities

Your child can use prescribed emergency or maintenance medications (like an inhaler or EpiPen) during tests, recess, and field trips without restriction.

Health, Medical & Physical Accessibility

Provide preferential seating near the teacher, door, or nurse's office

Your child sits in a location chosen to support their medical, physical, or sensory needs—such as close to the teacher, near an exit, or close to the nurse's office.

Health, Medical & Physical Accessibility

Ensure wheelchair accessibility, including accessible desks, pathways, and bathrooms

The school will ensure your child can navigate the classroom and school building safely, with accessible desks, ramps, elevators, and bathrooms.

Health, Medical & Physical Accessibility

Provide adjustable-height or adaptive furniture (standing desk, positioning chair, etc.)

Your child will have a desk, chair, or other furniture that can be adjusted to fit their physical positioning needs and help them work comfortably.

Health, Medical & Physical Accessibility

Allow frequent breaks for medical needs, bathroom use, or physical movement

Your child can take breaks as needed without penalty—to use the bathroom, see the nurse, take medication, stretch, or move around.

Health, Medical & Physical Accessibility

Provide 1:1 supervision during meals for students with aspiration, choking, or food allergy risks

A trained adult will sit with your child during lunch and snacks to watch for safety concerns like choking, aspiration, or accidental allergen exposure.

Health, Medical & Physical Accessibility

Provide verbal or visual cues for safe eating (chew, swallow, monitor portions)

The teacher or aide will give your child reminders to chew, swallow, or slow down during meals to help them eat safely.

Health, Medical & Physical Accessibility

Establish nut-free or allergen-free eating space or classroom

Your child will eat in a designated nut-free or allergen-free area to reduce exposure to foods that trigger severe allergic reactions.

Health, Medical & Physical Accessibility

Provide accessible adaptive toilet seat and private changing station for toileting needs

Your child will have access to an appropriate toilet seat, sturdy handrails, and a private, clean space for diaper changes or toileting support.

Health, Medical & Physical Accessibility

Allow access to nurse's office or medical station during the day without penalty

Your child can visit the nurse's office as needed for medication, medical equipment, rest, or support without missing important instruction or losing recess.

Health, Medical & Physical Accessibility

Provide modified or accessible seating for special events, assemblies, and field trips

Your child will have appropriate seating during school assemblies, field trips, and special events that accommodates their physical or medical needs.

Health, Medical & Physical Accessibility

Provide access to temperature-controlled spaces during outdoor activities

Your child can move to an air-conditioned or shaded area during recess or field trips if they have health conditions sensitive to heat, cold, or humidity.

Health, Medical & Physical Accessibility

Allow protective gear or adaptations for outdoor activities (sun-protective hat, lighter ball, etc.)

Your child can wear a hat for sun protection, use a lighter ball for sports, or access alternative playground equipment designed for their physical abilities.

Health, Medical & Physical Accessibility

Provide 1:1 aide on school transportation for medical support or safety

A trained aide will ride the school bus with your child to provide medical assistance, monitor for safety concerns, or help with mobility needs.

Health, Medical & Physical Accessibility

Create a plan to manage medication side effects (water bottle, extra bathroom breaks, etc.)

The school will provide supports to help manage side effects of your child's medications, such as allowing frequent bathroom breaks or water access.

Health, Medical & Physical Accessibility

Provide emergency response plan for medical crises (dislodged tube, allergic reaction, etc.)

The school nurse and staff will have a written emergency plan for how to respond quickly if your child has a medical emergency during the school day.

Health, Medical & Physical Accessibility

Allow upright seating or positioning before and after tube feeding to manage reflux

Your child will be seated upright after eating or tube feeding to help prevent reflux or vomiting.

Health, Medical & Physical Accessibility

Provide home or hospital instruction when student cannot attend school due to medical reasons

If your child is hospitalized or unable to attend school for medical reasons, the school will provide instruction at home or in the hospital.

Health, Medical & Physical Accessibility

Allow use of specific utensils, cups, straws, or adaptive eating equipment

Your child can use specially designed utensils, cups, or straws that help them eat and drink independently and safely.

Health, Medical & Physical Accessibility

Provide modified or lighter equipment for physical education and sports activities

Your child can use lighter, softer, or modified sports equipment during PE class and sports activities that match their physical abilities.

Health, Medical & Physical Accessibility

Allow adapted or alternative writing utensils (pencil grips, weighted pens, etc.)

Your child can use special pencil grips, weighted pens, or other adapted writing tools to help them hold and control pencils or pens more easily.

Health, Medical & Physical Accessibility

Provide a calculator or alternative tools for math without penalty to content mastery

Your child can use a calculator or other tools to show their math understanding without having to do hand calculations if they have physical disabilities.

Health, Medical & Physical Accessibility

Modify test format or location (seated at a table, extra space, separate room, etc.)

Your child can take tests at a specially set-up table, in a separate quiet room, or with extra space to accommodate their physical needs.

Health, Medical & Physical Accessibility

Provide environmental modifications (acoustics, temperature, ventilation, lighting)

The school will adjust the classroom environment (sound, temperature, air flow, or lighting) to support your child's medical, sensory, or health needs.

Health, Medical & Physical Accessibility

Allow food and drinks in classroom as medically necessary

Your child can keep water, snacks, or other food and drinks at their desk or carry them during the day if needed for medical reasons like diabetes or reflux.

Health, Medical & Physical Accessibility

Provide separate, distraction-free testing room

Your child takes math tests in a quiet, separate room away from other students to minimize distractions and anxiety.

Math Support

Allow extra breaks during math instruction or long problem sets

Your child can take short movement or rest breaks during math time to reset focus and maintain attention for the next set of problems.

Math Support

Allow fidget tools or sensory objects during instruction and testing

Your child can use fidgets (like stress balls or spinners) to help them stay calm and focused while learning or taking tests.

Sensory & Movement Needs

Provide frequent movement breaks throughout the day

Your child gets scheduled breaks to move around and stretch—either by walking in the halls, doing exercises, or running an errand—to help them refocus.

Sensory & Movement Needs

Allow flexible seating options (wobble stools, standing desks, rockers)

Your child can sit on a special seat that moves (like a wobble stool) or stand at a desk instead of sitting still in a regular chair.

Sensory & Movement Needs

Use a pass system to allow frequent bathroom or movement breaks

Your child has a special pass they can use to take bathroom breaks or walk to the office without asking permission each time.

Sensory & Movement Needs

Provide access to movement equipment (rocking chair, trampoline, exercise bike)

Your child has access to movement equipment in the classroom or sensory room to help them regulate their energy and mood.

Sensory & Movement Needs

Allow use of standing desk or lectern to alternate between sitting and standing

Your child can stand while working at a high desk or lectern to help them stay alert and engaged.

Sensory & Movement Needs

Provide seating with back support or positioning aids for postural stability

Your child's seat has special supports to help them sit safely and comfortably with proper posture.

Sensory & Movement Needs

Allow movement pass for walking in hallways or outdoor time when needed

Your child can take a pass to walk around the building or go outside when they need to move and decompress.

Sensory & Movement Needs

Provide scent-free classroom environment (minimize perfumes, scented products)

The classroom is kept scent-free—staff and students avoid strong perfumes, air fresheners, and scented products that bother your child.

Sensory & Movement Needs

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