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  • Md Mcps Form 311-15b 2016

Get Md Mcps Form 311-15b 2016

Application for Interim Instructional Services, with Qualified Physical Health Condition ONLY Department of Career Readiness and Innovative Programs Interim Instructional Services MONTGOMERY COUNTY PUBLIC SCHOOLS (MCPS) CESC, Room 251, Rockville, Maryland MCPS Form 311-15B October 2016 Page 1 of 2 Note: This form is used by the Interim Instructional Services (IIS) Office to obtain physician s recommendation and parent s permission to initiate instruction for students with a medical health.

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How to fill out the MD MCPS Form 311-15B online

This guide provides clear and detailed instructions on how to complete the MD MCPS Form 311-15B online. Designed to meet the needs of users with various levels of experience, this guide supports you in accurately submitting your application for interim instructional services for students with qualified physical health conditions.

Follow the steps to successfully complete the form online.

  1. Click the ‘Get Form’ button to access the application and open it in your preferred editor.
  2. Begin by entering the student's name, MCPS ID number, date of birth, and school information in the designated sections. Ensure all information is accurate and clearly presented.
  3. Provide the home address, including city, state, and zip code. This information is essential for communication regarding the application.
  4. Fill in the Edline user name and password, if applicable. This information helps maintain access to online resources.
  5. Enter the parent or guardian's name, email, and phone numbers, including home, work, and cell numbers. It is crucial to provide multiple contact options.
  6. Indicate the relationship of the parent or guardian to the student. Select from the provided options and specify if necessary.
  7. Check the boxes indicating the times the child is available for instruction, such as weekdays, evenings, or weekends.
  8. Authorize Montgomery County Public Schools to consult with the physician or certified nurse practitioner by signing and dating the form.
  9. Move to the second section of the form, to be completed by the counselor or principal. Fill in relevant dates and confirm the presence of an IEP or 504 plan, if applicable.
  10. Ensure the counselor or principal signs and dates the application after reviewing the information.
  11. Complete the medical verification section on page two of the form. Provide detailed responses as required, including the medical condition and treatment plan.
  12. Finally, save your changes, then choose to download, print, or share the completed form as needed for submission.

Take action now to complete and submit your MD MCPS Form 311-15B online for interim instructional services.

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MD MCPS Form 311-15B
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