Application Client Forms for Former U.S. Military Service Members with a Chronic Disease, Severe Illness, Mental Health Condition and/or Substance Use Challenge

Thank you for your interest in receiving medically tailored meals from God’s Love We Deliver! This webpage provides forms to be completed for new clients to start our home-delivered meal program.

Please know that in order to qualify for program, you or your loved one must:

  • Prior Service in the U.S. Military
  • Qualifying diagnoses include eligible chronic diseases, severe illness, and/or the mental health conditions of PTSD, anxiety disorders, major depression, bi-polar disorder, schizoaffective disorders, schizophrenia, or substance use challenges
  • Must live in NYC or Hudson County, NJ
  • And must have difficulty grocery shopping and cooking

We deliver delicious meals right to your door whether you’re living with or recovering from an illness, and having trouble shopping or cooking.

After submitting your forms electronically:

Once your medical provider and you complete the signs above, the Client Services team will review your forms for eligibility. You will receive a phone call or email *if we have received the forms and you qualify.*

Prefer to Download and Mail Forms? Use the Below!

If you prefer to complete the application process by downloading our forms, please do so by downloading, printing and returning our Application Packet here.

You will need to get a medical provider’s signature and then please return by:

Fax: 212.294.8198
God’s Love We Deliver
c/o Client Services Department
166 Avenue of the Americas
New York, NY 10013.

Questions or Concerns?

Please call Client Services at 212-294-8102 or email us at