Library Homebound Services

Homebound Services

Request for Homebound Service:

*Name:

*Physical Address:

*City:

*Phone:

*Required

Please explain the circumstances which prevent your visiting the Library:

A permanent physical condition prohibits me from safely visiting the Library.

A temporary health situation (medical leave due to surgery, etc.,) prohibits me from visiting the Library

A resident of a nursing care facility.

An elderly with health conditions that prohibit me from safely visiting the Library

Please tell us of any services which you regularly receive at your home:

Meals on Wheels

Visits from the Home Health Nurse

Specify:

Other

Thank you for sharing this information with us. If you have any questions, please call Sue Morin, Chief Librarian, at 461-7204.

When we receive your form, we will call you to discuss options for delivering Library materials to your home on a regular basis.