MCPS FORMS > STAFF FORMS > Application for Home and Hospital Teaching

Application for Home and Hospital Teaching

Note: This form is used by the Home and Hospital Teaching (HHT) Office to obtain physician’s recommendation and parent’s permission to initiate instruction for students with medical or emotional problems. Return completed application to school counselor or principal designee. A new completed application is required for continuation of service beyond 60 calendar days.

• This form is for: MCPS Staff, Physicians
• Form number: 311-15
• Last revised: April 2011

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