DD attends a very small private school (around 50-60 kids in K-4th grade) and last December when she was diagnosed we met with the school director before she went back to class and explained everything that had happened and what we were going to need. Then we met with her teachers and another teacher from another grade and taught them all what to do since there is no school nurse. It was basically a 30 minute crash course in insulin delivery, BG testing and how to treat highs/lows. For the first two weeks after that DH came everyday at lunch and gave Molly her shots while talking through it with her teachers watching. Throughout the rest of the school year everything went smoothly and her teacher texted me if she ever had any questions or something was amiss or called if anything was really pressing. This year she is going to first grade with a smaller class and only one full time teacher. This teacher was not one we trained last school year so well will need to get with her and teach her how to take care of DD as well. My question is, do you think I should put together something more formal, like a 504 that the teacher and director can sign? I wouldn't have the first clue what to do, but I just want to make sure that Molly has everything she needs to be well taken care of, especially now that it is becoming more academic. What do you do in a private school setting to make sure D care is taken care of?