Get Medical Assessment Form

Completing the Medical Assessment Form online is an essential step for individuals seeking assistance with housing based on medical needs. This guide provides clear instructions to help you navigate the process effortlessly.

Follow the steps to successfully complete the Medical Assessment Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your personal details in the ‘About you’ section. Ensure to include your title, surname, first name, date of birth, and contact information.
3. Provide information about the person with health problems, including their relationship to you, work status, and a list of household members.
4. In the ‘About where you currently live’ section, indicate your housing situation, type of property, duration of residence, and specifics about stair access and lifts.
5. Detail your disability or health problems in Section 4. Explain how these conditions affect your living situation and list any medications you are taking.
6. Complete Section 5 by addressing your mobility and ability to manage daily activities. Specify any aids you use and how they assist you.
7. Add any relevant additional information in Section 6 that may impact your housing application.
8. Fill out the authorization section carefully, allowing the necessary release of medical information. Ensure your signature and date are included.
9. Once all sections are completed, you can save your changes, download the document, print it, or share it as needed.

Complete your Medical Assessment Form online today to ensure your housing needs are addressed promptly.