Client Enrollment Application

Do you have pets?
What type of meal do you want?
Meals on Wheels utilizes volunteer drivers to deliver your meal and are not trained in home health care so are unable to assist in any medically -based tasks including dressing, moving clients, etc.
I UNDERSTAND THAT BY TYPING OR SIGNING BELOW, I ACKNOWLEDGE AND CONFIRM THAT ALL OF THE INFORMATION I HAVE PROVIDED IN THE ENROLLMENT FORM IS TRUE AND COMPLETE