Homebound 

Homebound Request Form

HomeboundRequest Form.pdf

Homebound

Homebound instruction shall be made available to students who are confined at home or in a health care facility for periods that would prevent normal school attendance (8VAC20-131-180). The term “confined at home or in a health care facility” means the student is unable to participate in the normal day-to-day activities typically expected during school attendance; and, absences from home are infrequent, for periods of relatively short duration, or to receive health care treatment. Students receiving homebound instruction may not work or participate in extra-curricular activities, non-academic activities (such as field trips), or community activities unless these activities are specifically outlined in the students medical plan of care or the Individualized Education Program (if applicable). 

 A Homebound Form must be completed by the licensed physician or licensed clinical psychologist providing care to the student for the condition for which the services are requested.* 

 Contact the Student Services Department at 804-733-2700 if you have any questions. 

 Completed Homebound Forms may be faxed to 804-733-6428.

Prince George County Public Schools

Student Services

6410 Courts Drive Prince George, VA 23875

Phone:  (804) 733 - 2700

Fax:  (804) 733 - 6428