Homebound Services Application

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As part our Outreach Services, Bentonville Public Library can mail library items to patrons who live in the City of Bentonville who are unable to visit the library due to temporary or long-term illness, injury, impairment, medical condition, age-related issue, or disability.

If you or someone you know would like to take advantage of BPL's Homebound Services, please complete the information below.

If you have any questions, please contact our Outreach Coordinator at 470-326-6562 or by email through our Connect With Us page.

Homebound Services Application Form

Patron Information

Please complete the following information for the person for which you are requesting services.

Please check all that apply.

If you are completing this form on behalf of the person named above, or if you would like us to contact someone other than yourself, please provide the following:

Preferences

Please check your selection preference
What types of items would you like to receive?
As default, we do not track patron loan history, but you can opt in for tracking if you would like us to use this history to select books for you. Would you like us to track your loan history?