Students with Chronic Health Conditions Regulation

Section J - Students

Regulation Title: Students with Chronic Health Conditions
Regulation Code: JHD-R

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Identification/Referral Process

  • At the beginning of school, the school nurse will review health data and note any students who were previously diagnosed as students with chronic health conditions.
  • The school nurse will refer all applicable students with a current Medical Certification of Student with Chronic Health Condition form (JHD-E1) to the school's 504 Coordinator. The 504 coordinator will review the certification and determine whether a 504 team should be convened to consider whether further accommodations are necessary or review of a current 504 plan is necessary.
  • Attendance clerks will review attendance data. When a student's absences indicate an illness, disease, pregnancy complications, or an accident or severe health problems of an infant child of a student, attendance staff will inform the school nurse who will assess for possible intervention in securing a chronic health certification.
  • Additionally, the parent, guidance counselor, health staff, or teacher may initiate the process for chronic medical certification by informing the school nurse.
  • Upon referral or request, the school nurse will provide the parent with a letter of explanation and the Medical Certification of Student with a Chronic Health Condition form (JHD-E1) which needs to be completed by a licensed medical doctor, podiatrist, osteopathic physician, chiropractor, naturopathic physician, physician's assistant or nurse practitioner.
  • When the completed chronic medical certification form is returned to the school nurse, the nurse shall review the form for completeness.  The medical certification form may be retroactive up to fourteen (14) days or date of initial medical consultation.
  • Unless the original chronic medical certification is designated as permanent per the healthcare provider, an updated medical certification shall be obtained for each school year to verify the need for continuing instructional modifications and average daily membership adjustment, if applicable. However, the student may be recertified at any time to reevaluate appropriate services needed.
  • The student will be identified as having a chronic medical certification in the student information system.


  • All students with a certified chronic medical certification form will be recorded in the electronic health record and any provided documents will be uploaded into the private tab in the electronic health record.  A copy of the Medical Certification of the Student with Chronic Health Condition (JHD-E1) will be placed in the student's cum file.
  • Each student absence must be coded appropriately when a chronic health condition exists. Parents will be instructed by the school nurse as to how to call in an absence due to a chronic health condition.

Homebound Services Eligibility
If the student absences exceed three (3) school months (or sixty [60] school days), a review of services will be convened and a process of continuous learning will be decided. If Homebound Services are appropriate, the policies for referral shall be followed which may entail:

  • Obtaining parental consent to evaluate student placement for Homebound Services.
  • Obtaining Medical Certification for Homebound Services.

Additional Provisions

  • Homework assignments will be provided during absences of students with medical certification of chronic health conditions, and credit will be given for course work completed within established time lines. Course credit will be given for completed course requirements.
  • The counselors who schedule students with chronic health conditions will take into consideration the anticipated days of absence (noted on the medical certification form) and feasibility of completing courses requiring laboratory work or vocational workshops.
  • Physical education course-work requirements shall include flexibility and adaptation for students with chronic health conditions to participate in regular program activities as much as their health permits.

File Maintenance

Reviewed: 8-17-07 (Friday Report)
Revision: 01/22/2015
Revision: 10/23/2023

Legal Ref: A.R.S. 15-346, Policies and Procedures Concerning Pupils with Chronic Health Problems

Cross Ref: IHBF - Homebound Instruction
IHAE - Physical Education
JE -Student Attendance
IHBA - Special InstructionalPrograms and Accommodations for Disabled Students

Replaces TUSD Regulation # 5501 Students with Chronic Health Conditions