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Carlson home hospital 2026
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- Click ‘Get Form’ to open the Carlson Home Hospital document in the editor.
- Begin by filling out the 'Student Information' section. Enter the student's name, gender, date of birth, grade, and language. Ensure all fields are completed accurately.
- Next, provide the student's address and contact information including home, cell, and work phone numbers for both parents or guardians.
- Indicate whether the student has a current IEP/504 Plan by selecting 'Yes' or 'No', and fill in any eligibility details if applicable.
- In the 'Implementation of Service' section, review the terms regarding home instruction. A responsible adult must be present during teaching sessions.
- Obtain a signature from the parent or legal guardian authorizing medical and academic information release. Include the date of signing.
- On page 2, have a California licensed physician complete their section by providing a diagnosis and any necessary restrictions related to the student's condition.
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