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Home Hospital Instruction

Request for Home or Hospital Instruction (HHI) 

Request for Home or Hospital Instruction (HHI) 

Important Information for Parent/Guardian
 
Purpose of HHI
The purpose of HHI is to provide instruction to a student with a temporary disability in the student’s home or in a hospital or other residential health facility, excluding state hospitals.
 
A temporary disability is defined as a physical, mental or emotional disability incurred while a student is enrolled in regular day classes or an alternative education program, and after which the student can reasonably be expected to return to regular day classes or the alternative education program without special intervention.
 
In addition to students with temporary disabilities, HHI may be provided to a student with an IEP or Section 504 Plan who is unable to be educated in the public school setting due to significant health or behavioral needs.  
 
Eligibility for HHI
To be considered for HHI, a complete request packet must be submitted. A complete request packet includes parent form, school form, medical provider’s document, and signed authorization for release of medical information (HIPAA/FERPA). This allows the HHI team to communicate with health care providers regarding your child’s ability to participate in school, and accommodations that your child may need. 
 
HHI is not authorized by the doctor, but by Rocklin Unified School District (RUSD). If the student has an IEP or Section 504 Plan, the IEP team or Section 504 team will determine the need for HHI.  The doctor’s role is to provide pertinent medical information to RUSD staff so a determination for HHI can be made.
 
Delivery of HHI
For general education students with a temporary disability, 1 hour of instruction per RUSD student calendar day will be provided.  For students with existing IEPs or Section 504 Plans, the IEP team or Section 504 team will determine HHI services.  A parent/guardian or other responsible adult, age 18 years or older, must be present when the HHI teacher is at the home.
 
Please follow the directions below to submit a request for HHI
 
  • Parent/guardian completes Parent Documentation for HHI (Attachment A)
  • Parent/guardian completes and signs Authorization for Release of Medical Information (Attachment B)
  • MEDICAL: Treating physician completes Physical Medical Documentation for HHI (Attachment C) OR MENTAL HEALTH: Treating clinical psychologist or psychiatrist completes Mental Health Documentation for HHI (Attachment D)
  • Parent/guardian submits completed packet (including any requested attachments) to the student’s school. 
 
If an extension is needed, please notify the school and have the doctor complete either Attachment C or D and turn into your student’s school. 
When the student returns to campus there may be a re-entry/SST meeting, IEP meeting, or Section 504 meeting to help the student  transition back on campus.
 
For questions regarding HHI contact your student’s school site Administrator. 
 
A medical or mental health provider must complete and sign the HHI forms.  The amount of time to be out should be 4 or more weeks due to a temporary illness or injury.