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Clear Form MIAMI-DADE COUNTY PUBLIC SCHOOLS. Mail or Fax completed forms to: REQUEST FOR CONSIDERATION OF ENROLLMENT IN THE Llene el formulario y envielo por HOMEBOUND/ hospitalized instructional program correo o facs mile a: Ranpli f m yo epi Poste oubyen fask SOLICITUD PARA CONSIDERAR INSCRIPCI N EN EL yo ba: PROGRAMA DE INSTRUCCI N PARA ESTUDIANTES Brucie Ball Educational Center EN EL HOGAR U HOSPITAL 11001 SW 76 Street DEMAND POU KONSIDERE ENSKRIPSYON NAN Miami, Florida 33173. Telephone: (305) 514-5100. PWOGRAM ENSTRIKSYON POU MOUN MALAD KI RETE Fax: (305) 447-3761. LAKAY/OSPITALIZE. To be considered for services from the Homebound/Hospitalized program, it is necessary that the referring physician and/or psychiatrist make a recommendation.

fm-5539esh rev.(03-13) request for consideration of enrollment in the homebound/hospitalized instructional program solicitud para considerar inscripciÓn en el …

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