Medical application form
This form is for housing register applicants who have a medical condition that needs to be taken into consideration as part of their application, or who live with someone (who is named on your application) that has a medical condition that needs to be taken into consideration as part of their application.
Once the form has been completed, please send the form and any relevant evidence to [email protected]
Some examples of why you might be affected by your current home:
- Following a recent accident, an applicant has become reliant on a wheelchair, but they live in a first-floor flat that is not served by a lift
- A hospital discharge cannot take place because the patient cannot return to the home as it is impossible for them to live there
- A wheelchair user lives in a property arranged over more than one floor and needs easy access bathing facilities, but lives in a private sector rental property and the landlord has refused to allow a stair lift to be installed or does not agree to the bathroom being adapted.