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Question: With food allergies and an epi pen, with unknown reactions, when do you do a 504 versus an individual health plan? Almost everyone on here seems to swear by the 504 and some say that's not enough. Im quite confused. I am a teacher and I pay attention to all health notes. I know 504 plans have legal teeth, but what exactly does that mean in terms of reality? I know the only thing we all want to do is keep our kids safe.