Skip To Main Content

Home Hospital Instruction



Home and Hospital Instruction is provided for students who have a TEMPORARY disability, which makes school attendance impossible or inadvisable. Please be advised that the Home and Hospital Instruction Program provides for on-going academic instruction for students unable to attend the regular school day due to TEMPORARY illness, surgery, or chronic medical disorders.  The program may not be able to support students who are taking certain electives, such as world language, lab science, physical education, auto shop, or any other subjects requiring hands-on instruction.


In accordance with Ed. Code 48206.3 and 3051.4, you must provide the school district with a medical letter or report from the attending physician, and/or surgeon, or the report of the psychologist, as appropriate, stating the diagnosed condition, and certifying that the severity of the condition prevents the student from attending school.  Working with the school nurse, the following forms are required for admittance into the Home and Hospital Instruction Program:


  • PHYSICIAN'S STATEMENT Requesting Home and Hospital Instruction  
  • Home and Hospital Instruction PARENT/GUARDIAN AGREEMENT Form 
    • and
  • If your child has an IEP or 504, a change of placement meeting must be held and Home and Hospital Instruction approved for the new instructional setting.  A copy of the new IEP and meeting notes must accompany the application.
The Physician's Statement shall include, a projected calendar date of when the student may begin services and his/her expected date for return to school.  


Once you have obtained the Physician's Statement from your child’s doctor and completed the application process, bring the packet to your child’s school nurse.  The school nurse will notify Student Services of your child’s needs.


The  application, once approved, is only valid for the current school year, for the length requested by the physician 


A credentialed teacher will be assigned as a Home Hospital Instruction teacher.  The teacher will contact you to arrange the scheduled day(s) and time(s) to provide the Home Hospital instruction.  


Please understand the teacher functions as a liaison between the school site teachers and student, gathers the assignments, reviews and completes the coursework with the student.  Your student is entitled to one hour of Home Hospital Instruction per day of regular attendance, five hours per week.  The expectation is that students will work independently in addition to the five hours, based upon their tolerance level.


Our hope is to make your student’s Home and Hospital Instruction positive and successful.  Please contact the Director of Student Services, Tracy Manzoni - 209-895-7737 or should you need further assistance during this difficult time.




To ensure that the student gains maximum benefit from participation in the Home and Hospital Instruction (HHI) Program parents/guardians will be required to accept the following responsibilities:


  1. The student must be ready for instruction at the specified time, with materials, books, and his/her physical needs met.


  1. The parent/guardian must be present (if instruction occurs in the home) or readily available (if instruction occurs in designated area) during the instructional period.


  1. A quiet place must be provided with a suitable working space, where the Home and Hospital Instruction teacher and student can work without interruption.


  1. It is important that your child completes the assignments that are required.  If you have questions or concerns about your child’s instruction, please address them to the Home and Hospital Instruction teacher.  If you have further questions or concerns, please contact the Director of Student Services, Tracy Manzoni, at 209-895-7737 or


  1. Notify the Home and Hospital Instruction teacher at least 24 hours in advance if you child is unable to receive instruction on the scheduled day.  The teacher will do his/her best to reschedule that appointment time.  


  1. During enrollment in the Home and Hospital Instruction Program, students are not allowed on campus during the school day, thirty minutes before or after a school day, and/or during school sponsored activities.


  1. If extended time is needed beyond the current physician's statement or the student is ready to return to school before the release date on the currently physician's statement, the parent/guardian must contact the school nurse and a PHYSICIAN’S STATEMENT TO RELEASE STUDENT BACK TO SCHOOL OR EXTEND HOME AND HOSPITAL FORM will need to be signed by the physician.