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Home & Hospital Instruction

Home and Hospital serves students who incur a temporary disability, which makes attendance in the regular day classes or alternative education program impossible or inadvisable.  Enrollment in the program is based on a referral from physician or psychiatrist.

Home & Hospital Instruction (HHI) is a limited program available to students who are temporarily ill or injured and require instruction at home for a short-term disability. The goal of Home & Hospital Instruction is the maintenance of the student's former level of performance while recovering.  Certain subjects/classes may not be offered/available while receiving instruction in the Home & Hospital program.

  • Students may be referred to the Home & Hospital Instruction program if they are unable to attend school due to a serious injury or illness which will result in school absence for at least three consecutive weeks.  This does not include any previous absences prior to the request for HHI.
  • School site accommodations and/or alternative education options such as independent study, charter schools, home schooling, school day reduction or other modified instruction should be considered BEFORE a referral is made to HHI.
  • Home Instruction may be made available immediately at the onset of health problems if it appears the absence will exceed three weeks.
  • For enrollments exceeding six weeks, you may be required to provide the Home and Hospital Instruction office with an updated Physician or Mental Health Referral form.
  • Mental health referrals are limited to a maximum of 60 days on home instruction.
  • Regardless of physician recommendation, the San Juan Unified HHI office will determine the appropriateness of placement on an individual basis.  Recommendations not meeting California Education Code criteria for HHI will be denied

Home & Hospital Instruction will not commence until the following forms have been received and approved by the program office:

  1. Parent Agreement (completed & signed by parent/guardian)
  2. Authorization for Exchange of Confidential Information (completed & signed by parent)
  3. Physician Referral (completed & signed by M.D.) or Mental Health Referral (completed & signed by Psychiatrist)
  4. For all Special Education referrals - Individualized Education Plan (IEP) designating Home and Hospital Instruction or Homebound Instruction (addendum)

Completed forms are to be mailed, faxed or brought to:
Home & Hospital Instruction
3700 Garfield Ave - Room 18
Carmichael, CA 95608
FAX: (916) 971-5733

Questions about the Home & Hospital Instruction Program may be directed to:

Karen Lerma, Secretary
(916) 971-7017

Sandra Butorac, Program Manager, Student Support Services

Important Documents