Homebound Services
Prior to starting a homebound assignment, two forms must be completed and sent to the Special Services Office: 1)Application for Home/Hospital Instruction (SE80) and 2) the Physician Request for Homebound Instruction (SE81).
A school administrator completes the top and bottom portion of the SE81 and forwards it to the physician to complete the middle portion. A separate letter or note from a physician may replace the SE81. Keep in mind that a student must be out of school (or anticipated to be out of school) for 15 consecutive days to be considered Homebound. If the student has an IEP, the Special Ed. Case Manager must document in the IEP that homebound services are being required for the student.
- SE80-81 Form- Application for Home/Hospital Instruction & Physician Request for Homebound Instruction
- Homebound Procedures Memo- October 1, 2007
- Homebound Teacher Signup Template
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