2. Our Client Services team will review for eligibility
For Your Patients
We know fresh, healthy meals can make all the difference in the world. If someone you treat is living with a chronic or life-altering illness like cancer, Alzheimer’s, renal failure, COPD, HIV/AIDS, or other serious condition, please get in touch! We deliver delicious meals right to their door if they’re living with or recovering from an illness, and are having trouble shopping or cooking. Our Registered Dietitian Nutritionists work with our clients to design individualized meal plan. We’re here for your patients! (We support healthcare providers also getting meals for their patients who are managed care members).
- Get in touch with outreach@glwd.org if you want brochures for your office or to schedule a time for us to come present to your team.
- Learn more about how nutrition can support your patient here.
- See some of our meal options here.
- Find the research here.
- If you would like to receive a full listing of accepted Diagnoses and ICD Codes, please contact Business Development here.
How to Access Forms - Electronically or via Download + Mail/Fax
There are two ways to access forms to client meal delivery for your patient, via the electronic HIPAA-compliant site FormDr or download. Both options are below.
Complete Forms Electronically via FormDr.
3. You'll receive a phone call or email *if we've received the forms and you qualify.*
OR
Download, Print, and Mail or Fax in Forms
1. Access Forms for Download
Download and Print our Full Packet Here2. Get a Medical Provider’s Signature
3. Return Forms to God's Love We Deliver
Contact Us: 212.294.8102
Fax: 212.294.8198
Email: clients@glwd.org
Required Forms for Different Conditions
- For patients with Alzheimer’s and Dementia diagnoses, please send us the healthcare proxy form as well.
- For patients with an HIV/AIDS diagnosis, please send us proof of income and residency as well.