Medical questionnaire about homeless applicant

A form asking for detailed information from a GP or doctor about a homeless applicant, as part of your inquiries under section 184 of the Housing Act 1996.

The form will elicit the medical information you need to decide:

  • whether the applicant is vulnerable, and
  • whether there are any specific requirements regarding accommodation, in order for it to be suitable for the applicant.

A covering letter is also available.

Country England

User Social Landlord or Local Authority

Subject Homelessness

Document Type Form

Medical questionnaire about homeless applicant
  • .docx
  • .pdf
  • .txt


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