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WV Brooke County Schools Homebound Medical Form Requesting Home/Hospital Instruction 2015-2025 free printable template

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BROOKE COUNTY SCHOOLS HOUSEBOUND MEDICAL FORM Requesting Home/Hospital Instruction Valerie A. Smith, Director Student Services 1201 Pleasant Avenue Wells burg, WV 26070 Telephone: 304.737.3481 Fax:
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How to fill out WV Brooke County Schools Homebound Medical Form

01
Obtain the WV Brooke County Schools Homebound Medical Form from the school's official website or the school office.
02
Fill in the student's personal information, including name, date of birth, and grade level.
03
Provide details of the medical condition that necessitates homebound instruction.
04
Include the name and contact information of the physician evaluating the student.
05
Indicate the expected duration of the homebound instruction needed.
06
Sign and date the form, ensuring all information is accurate.
07
Submit the completed form to the school's administration for approval.

Who needs WV Brooke County Schools Homebound Medical Form?

01
Students who have a medical condition preventing them from attending school regularly.
02
Parents or guardians of students requiring homebound educational services.
03
Healthcare professionals recommending homebound services for their patients.
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Cabell County Schools contains 26 schools and 11,875 students. The district's minority enrollment is 20%. Also, 35.3% of students are economically disadvantaged.
Sean Blumette - Athletic Director, Brooke County Schools - BROOKE COUNTY SCHOOLS | LinkedIn.
Middle Schools SchoolStart TimeDismissal TimeBarboursville Middle School7:10 AM3:10 PMHuntington East Middle School7:20 AM3:20 PMHuntington Middle School7:35 AM2:55 PMMilton Middle School7:25 AM3:05 PM

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The WV Brooke County Schools Homebound Medical Form is a document used to certify that a student is unable to attend school due to medical reasons and requires homebound instruction.
The form is required to be filed by parents or guardians of students who cannot attend school due to medical conditions requiring homebound services.
To fill out the form, parents or guardians must provide the student's personal information, medical details, and the physician's verification of the student's condition that necessitates homebound instruction.
The purpose of the form is to formally document a student's medical condition and ensure they receive appropriate educational support while unable to attend school in person.
The form must report information including the student's name, date of birth, medical diagnosis, duration of expected homebound status, and a physician’s signature confirming the medical condition.
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