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HI3WASHINGTON TOWNSHIP PUBLIC SCHOOLS HOME INSTRUCTION STUDENTS PHYSICIAN VERIFICATIONStudent Name: Date: DOB: School: Grade: Counselor: General Education Student ___ Special Education Student ___
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Gather all necessary contact information such as names, phone numbers, addresses, and email addresses.
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Contacts and resources refer to the individuals and assets that a person or organization has access to for support or assistance.
Individuals or organizations who are mandated by law or regulations to disclose their contacts and resources are required to file this information.
Contacts and resources can be filled out by providing detailed information about the individuals and assets that are considered contacts or resources.
The purpose of contacts and resources is to provide transparency and accountability by disclosing potential conflicts of interest or sources of support.
Information such as names, relationships, financial ties, and other relevant details about contacts and resources must be reported.
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