THE SCHOOL DISTRICT OF MARTIN COUNTY, FLORIDA PARENT AGREEMENT FOR HOSPITAL/HOMEBOUND SERVICESParent Agreement for Hospital/Homebound Services • October 7th, 2021
The referral form must be completed in its entirety. Students that are confined to the home or hospital may be eligible to receive educational services through the Homebound/Hospitalized Program. By completing this referral, in its entirety, you, as the physician/psychiatrist are indicating that the student is undergoing medical treatment by you for an illness or injury which is acute, catastrophic, or chronic in nature, and is expected to be absent from school due to this described illness or injury in which confines them to the home or hospital. (6A‐6.03020)
