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Submit a housing health assessment form

Complete the housing health assessment form if you or a member of your household has a health related issue and you want us to assess the impact of how your home affects your health, treatment and support needs. Please note: we do not assess the health conditions alone.

You should only complete the housing health assessment form if you or a member of your household has a genuine medical condition. Your health assessment form may not be accepted if the reason given is due to the following:

  • damp
  • anti-social behaviour
  • disrepair
  • overcrowding
  • noise
  • cosmetic (such as painting and decorating)
  • property conditions

The list is not exhaustive.


Before you can access the health form, you will be asked to sign in or register for a One Account.

Submit a health assessment form

Who can complete the health assessment form?

You must have a valid and active housing register application or Hackney Housing transfer application and be able to bid for properties.

If you have been advised to complete the health assessment form by a us, you will have been given a unique reference to be able to access the form.

How we assess your health needs

For more information about how we assess your health needs, please read the medical condition section (6.34.) of our lettings policy.

Submit a change of circumstances

Let us know about a significant change in your or a household member’s medical condition.

Submit a change now

Reconsideration of medical decisions

If you receive your medical decision and would like us to reconsider our decision, the request must be received within 21 days of the decision. For further information please refer to your decision letter.

Page updated on: 27 June 2019