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Absence Management

Home Visit Report Template

A structured report for documenting home visits conducted by school staff, capturing the home environment observations, family discussion points, and agreed actions.

1School Information

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HOME VISIT REPORT Student: Visit Date: Time: Visitor: () ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ PERSON(S) MET ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ HOME ENVIRONMENT Housing type: [Description] General condition: [Description] Study space available: Yes/No Internet access: Yes/No Other children in household: [Number] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ DISCUSSION POINTS Topics discussed: 1. [Topic] 2. [Topic] 3. [Topic] Family concerns raised: 1. [Concern] 2. [Concern] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ AGREED ACTIONS School will: • [Action 1] • [Action 2] Family will: • [Action 1] • [Action 2] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ FOLLOW-UP □ Yes — Date: _________ □ No Visitor Signature: _________________ Date: _________

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