Homebound Process

• Homebound Services DO NOT carry over from last school year. 
• Homebound Instructors must be a Licensed Teacher
• Homebound Start/End Dates are based solely on the timeline specified by the referring physician, not when the paperwork is submitted to the school.
• Homebound Packets will not be submitted for approval until ALL required pieces have been received.

• HB 1 - Homebound Services Information Form
• HB 2 - Parent Authorization
• HB 6 - Homebound Teacher Contract
• HB 7 - Release of Information
• Medical Referral (choose the appropriate medical referral form below.)
  • HB 3 - Physicians Referral for Homebound Services
  • HB 4 - Physicians Referral for OB/GYN Diagnosis
  • HB 5 - Psychiatrists Referral for Homebound Services

1. Submit all required documents to Jamie Milam in the Student Services Department. 
2. Ask your admin to submit a Homebound Teacher Recommendation in Frontline. 
3. Wait for the notice of approval. Once approved, services can begin.  

When a student returns from homebound - please complete the Homebound Exit form.