Meals on Wheels Request |
| You may be eligible for either a hot meal, a sandwich or both to be delivered to your home. Please complete the following application form. |
|
| Can you prepare your own meals? * | |
|
| Can you heat pre-prepared meals? * | |
|
| Can you feed yourself? * | |
|
| Unfortunately you are NOT eligible for the Community Meals service. |
| You may be eligible for Home Care Services |
| You are eligible to receive community meals. |
|
| Please note: The service will initially be provided for 6 weeks. After which you will be contacted by a Named Care Manager to review the service. Deliveries of community meals will end after 6 weeks unless the results of the review state otherwise. |
|
| To receive the service please complete the questions in the following sections of the form. |
|
| Please continue to fill in the rest of the form and we will then be able to assess whether you are eligible for Home Care Services. |
|
