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Home and Hospital Instruction Prevention & Intervention Lisa Rider, Analyst I 822 N Abby Fresno, CA 93701 Phone: (559) 4573344 Fax: (559) 7751455 Preparing Career Ready GraduatesHOME & HOSPITAL INSTRUCTION
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How to fill out home and hospital instruction

01
Gather all necessary paperwork and forms provided by the healthcare provider.
02
Fill out personal information such as name, address, date of birth, and emergency contact.
03
Provide details about medical history, current medications, and any known allergies.
04
Write down any specific care instructions or preferences for treatment.
05
Review the completed form for accuracy and sign where required.
06
Make copies for both your records and the healthcare provider.

Who needs home and hospital instruction?

01
Individuals who have medical conditions that may require emergency treatment at home or in a hospital setting.
02
Patients who have specific care preferences or instructions that need to be communicated to healthcare providers.
03
Individuals who want to ensure they receive consistent and appropriate care no matter where they are treated.
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Home and hospital instruction is a temporary educational service provided to students who are unable to attend school due to a medical condition.
Parents or legal guardians of students who are unable to attend school due to a medical condition are required to file for home and hospital instruction.
To fill out home and hospital instruction, parents or legal guardians must contact their school district for the necessary forms and guidelines.
The purpose of home and hospital instruction is to ensure that students with medical conditions receive appropriate educational services even when they are unable to attend school.
Home and hospital instruction forms typically require information about the student's medical condition, expected duration of absence, and educational services needed.
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