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Referral Procedures

Students with Physical Conditions

This track is for students recovering from temporary medical issues like surgery, broken bones, serious illnesses (like cancer), or accident injuries.

Eligibility Requirement

  • Must be expected to miss 20 or more consecutive school days.

Step-by-Step Application Process

  1. Meet with the counselor: You will meet with your Professional School Counselor to receive the Physician’s Verification Form (DSS-22).
  2. Get doctor approval: Your child's licensed physician or certified nurse practitioner must fill out and sign the DSS-22. You must then return the DSS-22 to the school counselor.
  3. School submits paperwork: The school counselor will submit the completed forms to the Office of Home and Hospital Teaching.
  4. Review of documentation: The Office of School Health will review the paperwork and verify details with the physician if necessary.
  5. Set up of service: If approved, a case manager from the Office of Home & Hospital Teaching will contact you to complete the parent agreement and assign a teacher.

Key Details & Logistics

  • Student Materials: Contact the school directly to pick up books and current coursework.
  • Return or Renew: When your child recovers, they return to regular classes. If healing requires more than 60 days, you must submit an updated form from your doctor.

Students Who Are Pregnant

Pregnant students should attend regular school as long as their doctor deems it safe.

Eligibility Requirement

  • Typically, receive home teaching for 6 weeks immediately after giving birth.

Step-by-Step Application Process

  1. Meet with the counselor: You will meet with your Professional School Counselor to receive the Physician’s Verification Form (DSS-22).
  2. Get doctor approval: Your child's licensed physician or certified nurse practitioner must fill out and sign the DSS-22. You must then return the DSS-22 to the school counselor.
  3. School submits paperwork: The school counselor will submit the completed forms to the Office of Home and Hospital Teaching.
  4. Review of documentation: The Office of School Health will review the paperwork and verify details with the physician if necessary.
  5. Set up of service: If approved, a case manager from the Office of Home & Hospital Teaching will contact you to complete the parent agreement and assign a teacher.

Key Details & Logistics

  • Student Materials: Contact the school directly to pick up books and coursework.
  • Return: The student returns to regular school full-time after their approved 6-week postpartum time concludes.

Students with Emotional Conditions

This track supports students experiencing mental or emotional health challenges who are actively receiving professional treatment.

Eligibility Requirement

  • Home teaching for emotional conditions is limited to a maximum of 60 school days to prioritize a safe transition back to school.

Step-by-Step Application Process

  1. Meet with the counselor: You will meet with your Professional School Counselor to receive the Emotional Conditions Verification Form (DSS-22A).
  2. Get specialist approval: A licensed psychologist, licensed psychiatrist, or licensed mental health nurse practitioner must complete the DSS-22A and include a formal Treatment Plan.
  3. School submits paperwork: Return the DSS-22A and the Treatment Plan to the school counselor. 
  4. School creates a return to school plan: The school team meets with you and your child (if available) to create a Transition Plan for a smooth return to school. 
  5. Return and review of documentation: The school counselor will submit the completed forms to the Office of Home and Hospital Teaching. The Office of Psychological Services will review the paperwork and verify details with the specialist if necessary.
  6. Set up of service: If approved, a case manager from the Office of Home & Hospital Teaching will contact you to complete the parent agreement and assign a teacher.
  7. Transitioning back to school: Once a teacher is assigned, the student should be working toward transitioning back to school. The school may host a meeting to determine lesson locations, map out the return timeline, and schedule a 30-day check-in.
  8. 30-Day Review: After 30 days of service, the school team may meet with you to review your child’s progress and finalize their return to regular classes.

Students with Concurrent (Long-Term) Health Conditions

This track is for students with ongoing, long-term health issues—like sickle cell anemia or cystic fibrosis—who miss school intermittently. These students attend regular school as much as health allows.

Step-by-Step Application Process

  1. Meet with the counselor: You will meet with your Professional School Counselor to receive the Physician’s Verification Form (DSS-22).
  2. School sends forms: The school submits the paperwork to the Office of Home and Hospital Teaching, and an intermittent teacher is assigned to step in when the child is too sick to attend.
  3. School Team Meeting: The school may schedule an official meeting depending on your child's current learning plan:
    • If your child has a 504 Plan: The school may hold a 504 meeting to adjust accommodations.
    • If your child has an IEP (Special Education): The school may hold an IEP meeting to update goals and services to include home-based help.