Library-By-Mail Homebound Application

All fields marked with * are required


This application is not an MCPL Library card application. Library cards are used for checking out materials while visiting your local library. You can apply for an MCPL account on our website.


Please fill out the application below if you are homebound (due to health reasons) and would like to receive materials by mail.

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Missouri
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Phone
Best time of day to receive calls
Do you want us to select materials for you?*

Based on your interests, would you like library staff to choose items for you?

Do you have any additional comments or instructions?


Healthcare Provider Certification

Print out the Library-By-Mail Homebound Certification Form (PDF, 129KB)


The certification form is to be completed by a healthcare professional or professional caregiver (doctor, registered nurse, therapist, social worker, case worker, counselor, rehabilitation staff, professional hospital staff, ophthalmologist, optometrist, or senior facility/activity director).


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