1. Have your medical provider fill out this referral and medical form
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.
We deliver delicious meals right to your door whether you’re living with or recovering from an illness, and having trouble shopping or cooking.
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.*
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 on page 4 and then please return by:
God’s Love We Deliver
c/o Client Services Department
166 Avenue of the Americas
New York, NY 10013.
We're so glad that you're applying for our services! If applying electronically, please be sure to complete the Policies & Procedures form and HIPAA form, and have your medical provider complete the medical referral formConfirm Eligibility