Health Services
Homebound/Hospital Services

Homebound/Hospital Services

The Illinois Administrative Code provides that homebound or hospital instructional services shall be:

  • Provided to students with a health or physical impairment, which in the opinion of a licensed medical examiner, will cause absence from school for ten or more consecutive school days;  
  • Provided on a temporary basis with instructional services sufficient to enable the student to return to school with a minimum of difficulty.
  • The home/hospital program is not intended to supplant or replace the program the student regularly attends.  The intent and purpose is to assist the transition from home or hospital to school after a temporary illness.   Hospital/homebound instruction is provided for students who are not able to attend school due to a physical or mental health condition.  A Physician, an Advance Practice Nurses, or a Physician Assistant must sign a Medical Certification stating that the student is unable to attend school and indicating the anticipated dates that the student will be absent.  A teacher is provided by the District to instruct the student in his/her academic classes.  It is important to have appropriate, accurate and complete communication between the family, the medical provider, the Hospital/Homebound instructor and the school.  To facilitate this communication, the School Nurse acts as the Medical Case Manager for all students with a Medical Certification.  The School Nurse works with the appropriate Educational Case Manager (i.e. teacher/guidance counselor) to ensure that instruction is provided that is appropriate considering the student’s medical condition.


  1. When school personnel become aware that a student will be absent for a prolonged period of time or is missing school because of chronic illness, they will contact the school nurse.
  2. The School Nurse will discuss the student’s medical circumstances with the family and send home the Medical Certification Form and Release of Information Form as appropriate.  The School Nurse is the only person to provide the Hospital/Homebound documents to the family.
  3. To begin planning for the student’s medical and educational needs, the parent should return both forms to the School Nurse as soon as possible.
  4. The School Nurse will send the signed Release of Information Form to the medical provider and will communicate with the medical provider as needed.  There must be communication between the student’s medical provider and the School’s Health Services Staff.
  5. The School Nurse will maintain a record of all students receiving homebound instruction, including date initiated and tentative date of expiration.  The School Nurse will determine when the certification needs review (at least once per 9 weeks).  If the student will require services beyond a nine week time frame, the School Nurse may communicate with the Physician, Advance Practice Nurses, or Physician Assistant and require a Medical Extension Request to be completed.
  6. The School Nurse will contact the Assistant Principal or Special Education Administrator in the home school to arrange for a Hospital/Homebound Instructor.  They will determine the Educational Case Manger in the building.
  7. The Educational Case Manger can be the student’s classroom teacher or guidance counselor who will be the liaison between the school and the Hospital/Homebound Instructor for the period of time the student is out of school.  The Teacher/Guidance Counselor ensures that assignments are collected and returned on a timely basis.  When informed by the Hospital/homebound Instructor of a problem, the Assistant Principal or Special Education Administrator will intervene. 
  8. If the illness is of an extended duration or is such that the student is unable to keep up with the class, the Assistant Principal or Special Education Administrator will arrange for a conference to involve the teachers, Hospital/Homebound Instructor, and the parents.  At this conference, appropriate areas of discussion include:  the success of instructional process, reasonable expectations for the student, dropping of classes, time lines for completion of work and other issues as necessary.
  9. During the course of hospital/homebound instruction, the School Nurse, Educational Case Manager, and the Hospital/Homebound instructor, will continue to communicate with each other in order to plan for any transition or accommodations needed when the student returns to school.  This may involve a modified school day, obtaining elevator passes, giving permission to leave class early to avoid crowded hallways, arranging for visits to the health office, and checking in with the student on how the transition back to school is progressing.  The School Nurse may develop a health care plan as appropriate.  The Assistant Principal may consider convening a meeting to discuss a #504 plan in accordance with federal and state guidelines.  Students should be encouraged to return to school as soon as able.
  10. Hospital/Homebound information is confidential and will be shared only with those school personnel who are required to know about the student’s medical condition. The responsibilities for all parties are as follows:  


Parent Responsibilities:

  • Providing appropriate medical documentation and updates when needed
  • Having the student ready for instruction at the agreed upon time
  • Informing the homebound teacher of cancellation in a timely manner
  • Designating a specific place for instruction with appropriate materials in place
  • Removing distractions from the area of instruction
  • Assuring the student completes the assignments
  • Providing adult supervision in the home setting or alternative location during the entire session of instruction
  • Transportation of the student if instruction occurs outside of the home in an alternative setting
  • Signing only fully completed homebound time sheets at the end of the instructional week   Student Responsibilities:
  • Be prepared for the instructional period
  • Be attentive and cooperative during instruction
  • Communicate clearly with instructor and parents
  • Completing assignments within the designated time frames  


Classroom Teacher/Guidance Counselor’s Responsibilities:

  • Providing assignments, books, materials ,expectations about completion of assignments, and any student specific information to assist the homebound teacher with instruction
  • Communicating regularly and working cooperatively with the homebound/hospital teacher in helping plan the program for the student and in charting progress
  • Grading student assignments, quizzes, and tests
  • Submits grades for report card/transcript as appropriate   School Nurse Responsibilities:
  • Communicate with parents regarding required paperwork for homebound/hospital instruction
  • Review medical certification and communicate with Physician, Advance Practice Nurses, or Physician Assistant regarding information provided
  • Review student’s need for homebound/hospital instruction every nine weeks
  • Request a Medical Extension Request from the Physician, Advance Practice Nurses, or Physician Assistant  and family as needed
  • Communicate with school personnel and homebound/hospital tutor as needed   Homebound Instructor’s Responsibilities:
  • Contacting parents to arrange a teaching schedule for instruction
  • Communicating with school staff (e.g. counselor, teachers, nurse) on a regular basis regarding student instruction and progress
  • Keeping all student information confidential