Confirmation of Medical Condition Form: Housing Repair and Accessibility Program
If you’re applying for funding through the Housing Repair and Accessibility Program, you need to submit the Confirmation of Medical Condition Form if your healthcare professional recommends accessibility adaptations for your home.
Use the Confirmation of Medical Condition Form if your healthcare professional recommends accessibility adaptations for your home. You need to submit the form as part of the Housing Repair and Accessibility Program application process.
Before you start
Make sure your healthcare professional is available to sign the form.