Mobility referral form

If you've had a mobility assessment in the last 12 months, we won't reassess unless your health has significantly changed, or you've moved home. If your health has changed a lot, please upload supporting evidence (like consultant letters or prescriptions) to your Birmingham Choice account.

A mobility assessment is a holistic assessment conducted by an Occupational Therapist. The purpose of this assessment is to identify whether you require adapted facilities in your current or future home (for example, the need for a wheelchair adapted property) to support your independence and wellbeing.

Complete this mobility referral form to support your housing application.

Make sure that you upload any relevant documents to the form or to your Birmingham Choice account.