Hospitalization/Injury/Extended Medical Absence Letter Dear Parent, It has come to our attention that your student was recently hospitalized, injured or has missed school due to a prolonged medical absence. We wanted to follow up to ensure that your student receives all necessary academic support as he/she goes through this medical situation. Oftentimes after a serious injury or a prolonged absence, students may feel overwhelmed trying to catch up and/or may be unable to keep up with the current pace of their classes. We want to help minimize any anxiety and recommend the following: 1) Speak to your Counselor at Canyon High School as soon as possible (via e-‐mail or call 714-‐628-‐5335). If your student feels that he/she cannot keep up with their current work load, it may be important for your assigned Academic Counselor to set up an SST (Student Study Team) meeting. The purpose of this meeting is to see what impacts the injury is having on your student and to assess if academic accommodations should be put into place (through a possible 504 plan) to facilitate your student's continued academic success. 2) Consider Home Hospital if the injury/illness is going to prolong more than two weeks. Any student that is out due to a medical illness for longer than two weeks should have their doctor fill out our OUSD Home Hospitalization form. The form requires the length of time required to be out of school, the type of medical condition, and the fact that the doctor recommends Home Hospital teaching (the doctor must be an M.D.). It will typically take an additional 5 days before Home Hospital teaching will begin once the note is received at the school site (you can deliver such a note to your student's assigned Academic Counselor). Further questions about Home Hospital should be directed to the Canyon High School Counseling Office (714-‐628-‐5335) or the Home Hospital School Site (714-‐628-‐ 5469). 3) Complete the attached “Release of Information” form so that we can share information about your son/daughter’s condition with the student’s teachers. This will enable them to assist your student getting back on track as quickly as possible. A counselor or someone from the health office may have already contacted you verbally or via email but we require a signed document to place in your student’s file. We truly hope this information will assist your student on their road to recovery. Kimberly Fricker Principal, Canyon High School 220 S. Imperial Hwy, Anaheim, CA 92807 | 714.532.8000 Release of Information
Student Name:____________________________________________________________ Grade:_______ I hereby give permission to Canyon High School to release the following information regarding my student’s recent hospitalization/injury/prolonged medical absence to teachers and limited support staff to provide appropriate academic support. Reason: ________________________________________________________________________________________ __________________________________________________________________________________________________
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__________________________________________________________________________________________________ Parent/Guardian Name: ____________________________________________________________________ Parent/Guardian Signature: _________________________________________________________________ Date: _________________________ 220 S. Imperial Hwy, Anaheim, CA 92807 | 714.532.8000