Housing Application Support Information

Complete this form only if you have been advised by your GP. If you have submitted a housing application the council may ask your GP for more information to support your application. Providing detailed information will help with your application.

Last Updated: 22/11/2020

Your Details

Your Information


This form collects your name, date of birth, email, other personal information & medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you & also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.