Washington Parish School System Hospital/Homebound Procedures 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A, where you will need to print and fill in the student's name, Social Security Number, date of birth, age, parent name, grade, race, telephone number, and address. Ensure all information is accurate for processing.
3. In Section B, mark the appropriate reason for Hospital/Homebound services by checking the relevant box. This section also requires you to indicate the start date of services and hours per week.
4. Proceed to Section C for Medical Certification. This must be completed by a certified physician who will provide a diagnosis and explain how it affects the student’s ability to attend school. Ensure that all medical details are clearly documented.
5. Finally, review all sections for completeness before submitting. Make sure signatures from required personnel are included at the end of the form.

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