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Volunteer Food Services Central Office / Meals on Wheels Client Registration Form
Instructions for Case Workers Concerning Meals on Wheels Referrals
THE ROLE OF THE CASE WORKER IS TO:
For the beneficiary's own safety as well as that of Meals on Wheels volunteers, it is important for us to be made aware of certain factors regarding the physical and mental health of the person referred (depression, alcohol abuse, major cognitive impairment, unsanitary living conditions, behavioural problems, etc.). It goes without saying that any such information you provide to us will remain confidential.
|This service is intended for:|
Anyone who is unable to prepare adequate meals for one or more of the following reasons:
|If you are unsure whether Meals on Wheels delivers in the beneficiary’s area, contact the liaison officer at the Central Office of Volunteer Food Services to make sure.|
If the request is for two people living at the same address (a couple, two sisters, etc.):
Please fill out 1 form per person.
N.B.: If the person is not sure they want to receive Meals on Wheels, leave them your contact information so that they can confirm their interest BEFORE you register them.
Fill out the beneficiary registration form below:
Once finished, click the "Submit" button to make sure we receive your form!
If you have the paper form, please answer ALL questions legibly, using large block letters and fax it to 514.842.8977.