The MHS Special Education Department provides several differing levels and types of services.  These services range from the consultant teacher model wherein the teacher works directly in the classroom with the mainstream teacher and student.  The inclusionary model is a team approach by the mainstream teacher and the special education teacher who delivers education to a mix of classified and non-classified students. The resource room service program is also a program where students attend class in the learning lab where remediation and I.E.P. goals are enhanced.

Middletown High School also offers a testing modification room, which is staffed each period of the school day to afford students access to testing modifications at all times.