Get Marc Client Intake Form - Congregate Meals - Marc

Filling out the MARC client intake form for congregate meals is an important step in accessing necessary nutritional services. This guide provides clear instructions to ensure users can complete the form accurately and confidently.

Follow the steps to successfully complete the intake form.

1. Press the ‘Get Form’ button to download or access the MARC client intake form.
2. Begin by filling in your personal information, including your last name, first name, middle initial, gender, date of birth, social security number, and identification number.
3. Provide your full address, including city, phone number, and county of residence. Make sure to include the zip code for accuracy.
4. Indicate your marital status, ethnicity, primary language, and citizenship status by selecting the respective options.
5. Fill out the eligibility section by marking any applicable categories related to income or living conditions.
6. Answer the nutritional status questions honestly, selecting 'Yes' or 'No' for each item to determine your nutritional needs.
7. Calculate your total score based on your 'Yes' responses and note the risk level: low, moderate, or high.
8. Provide emergency contact information, ensuring the contact is aware of their role, including their name, relationship to you, and contact numbers.
9. Review all entries for accuracy, then sign and date the form to confirm your information is correct.
10. Finally, save your changes, and download, print, or share the completed form as needed.

Complete your MARC client intake form online today to access essential services.