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Get the free www.marietta-city.orgcmslibAppendix A Hospital/Homebound (HHB) Services Request Form

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Georgia Department of EducationAppendix A Hospital/Home bound (HUB) Services Request Form (Note: There may be a delay in processing incomplete applications.) System Name: ___ Address: ___ ___ Phone:
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The hospital/homebound (HHB) form available on www.marietta-city.org/cms/lib/appendix a is needed by individuals who require medical care or assistance at home or in a hospital setting. This form is typically filled out by patients, their caregivers, or healthcare professionals who are responsible for providing or coordinating homebound or hospital care.
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It is a form used to request homebound services for students who are unable to attend school due to a medical condition or disability.
Parents or legal guardians of students who are in need of homebound services.
The form can typically be filled out online or submitted in person to the school district's special education department.
The purpose is to ensure that students who are unable to attend school due to medical reasons still have access to educational services.
Typically, the form requires information about the student's medical condition, the anticipated duration of homebound services, and any supporting documentation from medical professionals.
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