Get Community Meals Leeds Referral Form - Leeds Gov

This guide provides clear and detailed instructions for completing the Community Meals Leeds Referral Form online. By following these steps, users can ensure that all necessary information is accurately submitted to facilitate the meal service.

Follow the steps to successfully complete the referral form.

1. Click the ‘Get Form’ button to access the referral form and open it in your preferred online editor.
2. Enter the service user name in the designated field. This should be the full name of the person requiring meal services.
3. Provide the complete address, including the postcode. This information is essential for meal delivery.
4. Input the telephone number for contact purposes. Ensure that it is a reachable number for any necessary communications.
5. Fill in the date of birth of the service user to verify age-related eligibility.
6. Enter the ESCR number if applicable. This may be relevant for tracking purposes.
7. Specify the next of kin details, which includes providing their name, address, postcode, and telephone number.
8. Indicate who should receive the invoice by filling out their details along with the relationship to the service user.
9. Specify whether there is a keyholder for the service user by selecting 'Yes' or 'No'. If 'No', provide the name and phone number of an alternative keyholder.
10. Complete the service-specific details section, answering questions regarding the service user's ability to use the telephone and identifying any sensory or mobility issues.
11. List any known allergies to foods in the provided space to ensure safe meal preparation.
12. Indicate any specific food likes and dislikes to tailor meal options to the user's preferences.
13. Select the days hot meals are required by ticking the appropriate boxes. Remember to choose from Monday through Sunday.
14. If cold meals are needed, tick the corresponding boxes for the desired days. Ensure you specify if a frozen delivery is also required.
15. Tick the meals requirement section that best suits the user’s dietary needs, including options for traditional, vegetarian, or specific dietary requirements.
16. Sign and date the form to confirm the accuracy of the information and agreement to pay standard charges for the meals received.
17. Print the name of the referring worker at the bottom of the form.
18. Once completed, save your changes, then download, print, or share the form as necessary. Ensure it is submitted via fax to Meals at Home or email to communitymealsleeds@leeds.gov.uk.

Complete the Community Meals Leeds Referral Form online to ensure timely access to meal services.