This referral form is for Home Hazard Assessments for the Wellbeing Team only. There is currently a 15 week wait for these assessments to take place. If you are referring for rails only and not a full assessment for low level aids and adaptations, then please call the Contact Centre on 0121 717 1515 as rail only referrals are completed by the Aids and Adaptations team

REFERRER DETAILS

CUSTOMER DETAILS

Customers contact number, not a relatives etc

DETAILS OF SERVICE REQUIRED

Selected Value: 1

DETAILS FOR BOOKING THE APPOINTMENT

GDPR

GDPR Statement - The information you provide will be used to assist us in understanding your enquiry. We may also use it to communicate with you and provide the services you need or are entitled to receive and to monitor our performance in providing services to you; to gather statistical information to allow us to plan future provision of services and to obtain your opinion about our services. We may share data with other council services & partner organisations to ensure records are kept accurate and to identify services or benefits you may be entitled to or interested in. It is therefore very important that you notify us if any of the information you have provided changes at any time. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. If you would like to learn more about how Solihull Community Housing uses personal data please refer to our Privacy Notice on the website.