Homebound Instruction Forms

Families or guardian(s) are requested to return the following to their school for completion of the application process:

1. Homebound Instruction Application Form|  Solicitud Para Educación Domiciliari—Español
2. Medical Certification of Need
3. APS Release of Information

Please return the completed forms to:

• Elementary: return to the school principal
• Secondary: return to the school principal or director of counseling services

Where to submit:

School teams are required to submit these forms with the School Information Form.

Following an extension for Homebound services, a return to learn plan must be filled out and submitted:

• Return to Learn Plan for Medical or Psychological Conditions form