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Home/Hospital Referral Process for Medical Reasons
Placement of Student on Home/Hospital Instruction for Medical Reasons – Contact the Home/Hospital Nurse Christine Proctor at (585) 254-1240 ext. 3432 or Chris.Proctor@rcsdk12.org
Request for Home Hospital Teaching Services due to Medical Reasons Form
Home/Hospital Extension Referral
Referral forms can also be found in RCSD nursing offices.
Please send referrals and forms for potential Home/Hospital students to the referral mailbox: hhinfo@rcsdk12.org or fax Home/Hospital Nurse Christine Proctor at (585) 324-9931.
Per the NYS Commissioner's Regulations, Home/Hospital Instruction provides continuity of academic instruction in core subjects to students who are homebound or are unable to attend school for reasons including disability, injury or physical illness as substantiated by a licensed physician. Medical students must be referred by a Medical Doctor (MD) to enter the Home/Hospital Program.
The Medical Doctor (MD) note requires the medical diagnosis, length of time for the student to be in the Home/Hospital Program, and must be signed by a Medical Doctor (MD). Parents or guardians may email the MD note to the referral mailbox: hhinfo@rcsdk12.org
HIPAA-English Form
A signed HIPAA must be completed and faxed to Home/Hospital Nurse Christine Proctor at (585) 324-9931. Christine Proctor can be reached at (585) 254-1240 ext. 3432 or Chris.Proctor@rcsdk12.org to ensure receipt.
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
Guidance counselors in schools can also contact their school nursing department with medical requests for the Home/Hospital Program. School nurses will contact the Home/Hospital Nurse Christine Proctor at (585) 254-1240 ext. 3432 or Chris.Proctor@rcsdk12.org
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- George Mather Forbes School No. 4
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- OACES Office of Adult & Career Education Services
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