- Special School District of St. Louis County
- Homebound Staff Resources
Homebound Staff Resources
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The resources on this page are intended for use by SSD staff and employees in SSD's partner school districts.
If you are a family member seeking information about obtaining homebound services for a student, please contact Karen Whelan at kswhelan@ssdmo.org or 314.989.8383, or Kari Farless at krinkus@ssdmo.org or 314.989.8433.
Homebound Application
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The application is a five-part PDF document that can be downloaded and saved to your computer, filled out and submitted electronically. Repeating fields on Parts 3-5 will be auto-filled if you complete the document on your computer.
Submit the application and supporting documents electronically by attaching them to an email to homebound@ssdmo.org or faxing to 314.989.8425.
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Parent Letter & Sign-Off Form
Digitally signable version of the Parent Letter and Sign-Off Form (Parts 2-3). You may email this document, have it digitally signed and then email it to homebound@ssdmo.org.
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Parent Release & Physician's Authorization Form
May also be printed and provided to parents individually. Per SSD Board of Education policy, the physician's signature must be an original.
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Medical Extension Request
If medical homebound services need to be extended, the school needs to complete a plan for transitioning the student back to school-based services in Part 12 of this document, and the physician needs to complete and sign Section 13.
Homebound Information
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Homebound Office Contacts
One-page, printable document with the contact information for SSD's Homebound Department staff
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Homebound Brochure
One page, tri-fold brochure that can be printed and distributed to staff and parents
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Homebound Process Diagram
A printable diagram that defines the homebound application and service delivery process