Get Sentara Mobile Meals Form

Filling out the Sentara Mobile Meals Form online is an essential process for individuals seeking meal delivery services. This guide provides you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to successfully complete your application

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by entering the recipient's last name, first name, and middle initial in the designated fields. This ensures that the form is correctly associated with the individual requesting services.
3. Fill in the recipient's address, including building or apartment number, city, zip code, and phone number. Accurate address information is crucial for meal delivery.
4. Enter the date of birth and sex of the recipient. Also, include the social security number as required for identification purposes.
5. If applicable, provide the name of the spouse and the number of children, specifying the number of daughters and sons.
6. Indicate the recipient's ethnic origin by checking the appropriate box. This information may help in understanding the community's demographic.
7. In the directions to residence section, include clear instructions to help volunteers deliver meals successfully, specifying the preferred entrance.
8. If someone other than the recipient is to receive the bill, provide their name, phone number, address, city, zip code, email address, and relation to the recipient.
9. Complete the medical information section by listing the healthcare provider's name, phone number, dietary preferences, beverage choice, and any food allergies or health issues.
10. Sign and date the agreement section, confirming understanding and acceptance of the meal program terms. Remember to enclose the required deposit to process the application.
11. Finally, complete the emergency contacts section by providing the names, home phone numbers, relationships, addresses, and work phone numbers of two emergency contacts.
12. If applicable, fill out the referred by section, including the name, address, and how the user heard about the service.
13. Once all fields are filled in correctly, save changes to the form. You may opt to download, print, or share the completed form as needed.

Take the next step and complete your Sentara Mobile Meals Form online today.