Apply For Housing

Your needs - Medical factors

Do you or any of your household suffer from a medical condition or impairment which makes your present accommodation unsuitable?

If yes, please ensure to complete the separate medical questionnaire, which will be emailed to you after you submit the form.

Yes

Please summarise your medical condition or impairment and how your current housing is unsuitable.

Please describe how re-housing would make a difference to your medical condition or impairment.

Do you need an additional bedroom due to a medical condition or impairment?

If yes, please provide supporting evidence that details this, for instance a letter from a health professional

Yes