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Home and Hospital Teaching for Professional School Counselors/PGCPS Employees click here

high school students working in a group

Referral Form for PGCPS Employee:   

Home and Hospital Teaching Referral Form (DSS21)  click here

Physical Condition Medical Verification Forms (DSS-22) 

Forms should NOT be completed more than 15 days prior to the date the doctor indicates HHT services should begin. 
 

Physical Condition Medical Verification- English/Spanish(DSS 22)

Physical Condition Medical Verification-French (DSS22)

Emotional Condition Medical Verification Forms (DSS22A)

Emotional Condition Verification Form-English/Spanish (DSS22A)

Emotional Condition Verification Form-French (DSS22A)

Transition Plan Directions

Transition Plan

School Reference Guide

Office of HHT Reference Guide for Employees 

Employees should review this document to become familiar with the Office of Home and Hospital Teaching regulations, procedures and frequently asked questions. 

Administrative Procedure

COMAR 5011