
Get the free Homebound School Referral Form - Health Services - healthservices ccs k12 nc
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CUMBERLAND COUNTY SCHOOLS HOUSEBOUND INSTRUCTION School Referral Form Student Name:Student ID:Address: Age:Rev. 06/2019City: DOB:Grade:Gender:NC Zip: Ethnicity:Parent/Guardian Name: Home Phone:Parent/Guardian
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How to fill out homebound school referral form

How to fill out homebound school referral form
01
Obtain a copy of the homebound school referral form from your child's school or school district.
02
Gather all the necessary information for the form, including your child's personal details, medical condition, and reason for needing homebound schooling.
03
Fill out the form accurately and completely, following the provided instructions.
04
Attach any supporting documentation or medical certificates that are required.
05
Review the completed form to ensure all information is correct and legible.
06
Submit the form to the appropriate person or office designated by your child's school or school district.
07
Keep a copy of the completed form for your records.
Who needs homebound school referral form?
01
The homebound school referral form is typically needed by students who are unable to attend regular school due to a medical condition or other valid reasons. It is required for students who require homebound schooling or special education services at home.
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What is homebound school referral form?
The homebound school referral form is a document used to request educational services for students who are unable to attend school due to medical or health-related issues.
Who is required to file homebound school referral form?
The referral form is typically required to be filed by parents or guardians of students who are temporarily unable to attend school due to a medical condition.
How to fill out homebound school referral form?
To fill out the homebound school referral form, one should provide necessary personal information about the student, details regarding the medical condition, and any required documentation, such as physician's notes.
What is the purpose of homebound school referral form?
The purpose of the homebound school referral form is to ensure that students who are unable to physically attend school receive appropriate educational services and support during their time away from the classroom.
What information must be reported on homebound school referral form?
Information that must be reported includes the student's name, date of birth, contact information, medical condition, duration of homebound services needed, and the physician's verification of the medical condition.
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