Dr.'s Statement of Need
Physician, Psychologist, or Licensed Clinical Social Worker verification stating the reason(s) for H&H services and the length of time recommended.
Parent/guardian and current school administrator complete the H&H Registration Form.
Short-Term Disclosure Statement
Parent/guardian and current school administrator complete
District Mileage Report to be submitted monthly for each student on the program – be sure to list the address of the student served with the student’s name.
Monthly Teaching Record
Teacher records weekly visits to students including time with student, mileage, and any comments.
District timesheet to be submitted monthly – be sure to correspond the name of the student served with time charged.