Skip to main content
Explore URMC
menu
Home Care / Meals On Wheels / Apply for Meals

 

Apply for Meals

Meals On Wheels Service Area

One county service area map

Meals On Wheels Referral Form

Please fill out the form below as completely as possible. Due to extremely high demand for meals, it may take up to one week for us to process your application.

Your Information

( ) -

Recipient's Information

( ) -
Does another person need to be present for initial home visit?*: