Home/Hospital instruction is provided to students who are temporarily unable to attend school for an estimated period of four weeks or more because of a physical and/or mental disability or illness. The program does not provide tutoring to students caring for an infant or a relative who is ill.
This allows students to continue their education through a School District tutor that contacts the student’s teacher(s) for assignments and then goes to the students home or to the hospital to deliver and pick up assignments and assist where needed.
Home Hospital is a state wide program that has guidelines we must follow (WAC 392-182-218). The maximum amount of time a student may use these services within a single school year is 18 weeks.
The physician must state that the student may need to be out of school for at least 20 consecutive school days (4 weeks) in order for us to process an application for this program. The student may return to school before the 20 days is up if their recovery takes less time then anticipated with no penalty. Student’s may also come to school for partial days as their condition improves and continue to remain getting Home Hospital services.
There are 4 forms needed to complete the application process:
- Shoreline Public Schools Special Programs Request for Home/Hospital Instruction
- Application for Home Hospital Instruction
- Authorization for Exchange of Confidential Information
- Nurses Report for Home Hospital Instruction
Shoreline Public Schools Special Programs Request for Home/Hospital Instruction
This is the form that is filled out by the student's physician. The physician MUST state that the student will be out for at least 20 consecutive school days (4 weeks) or we may not process the application. This form is returned to the nurses office.
Application for Home Hospital Instruction
This is filled out by the student's parent/guardian and returned to the nurse's office
Authorization for Exchange of Confidential Information
This allows the nurse to speak directly to your student’s physician to coordinate services and needs. I commonly limit the scope of my contact to the current concern that is keeping the student out of school. This form is returned to the nurse's office.
Nurses Report for Home Hospital Instruction
This report is completed by your nurse from the information gathered from the physician and parent completed forms. I then fax the forms to the School District person at the central office who manages the Home Hospital program. The Home Hospital tutor will be contacted by them on the day the paperwork is turned in.
Forms may be downloaded by going to the Documents menu on the top left of this page.