Eligibility Criteria Form

In order to qualify for consideration for accommodation at Phoenix House, please complete the following form.

Once you have completed the form, please click the 'Submit' button and if you meet the basic eligibility criteria, you will be able to download an application to complete for accommodation on the next screen.


Are you aged 55 years or above or under the age of 55 with a disability?

Yes No

Are you in need of care or support from either a family or an organisation (e.g. home care agency or district nurse) or feel you may need care and support in the future?

Yes No

Do you either reside in, or have links with, the Solihull Metropolitan Borough Council area?

Yes No

Are you able to live inependently with care and support provided?

Yes No