Sign Up for Meals

Complete one form per person needing home-delivered meals

Save our phone number (888-869-6325) so you don't miss our call

Serving residents within Johnson, Ellis, Navarro, Somervell, and Hood counties

To discover meal providers in your area click here

Client Information
Referral Contact Information
Does your patient need Medically-Tailored Meals?
One file only.
200 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
These meals are suitable for members with: 
  • Renal Disease
  • Liver Disease
  • Cardiac Diseases (Like congestive heart failure or poorly controlled high blood pressure)
The nutrient targets are:
  • Protein: <20g/meal
  • Sodium: <600mg/meal (most are <500mg)
  • Potassium: <800mg/meal
  • Phosphorus: <350 mg/meal
These meals are suitable for members with: 
  • Severe Diabetes
  • Obesity
  • Cardiac Diseases (Except for Congestive Heart Failure)
The nutrient targets are:
  • Calories: <650 cal/meal
  • Fat: <20-35% total calories
  • Sat Fat: <7% total calories
  • Carbohydrates: 60-75g/meal
  • Fiber: 20-30g/day. >7g/meal
  • Protein: <20g/meal
  • Cholesterol: <200mg/day
  • Sodium: <2300mg/meal
These meals are suitable for members with: 
  • Cancer
  • HIV
  • AIDS
  • Wound Healing
  • Surgical Recovery
  • Malnutrition
  • Failure to Thrive
The nutrient targets are:
  • Calories: >700
  • Protein: >35g.meal
These meals are suitable for members with: 
  • Dysphagia Management (Swallowing Disorders)
Liquids may need to be thickened as ordered by physician or speech pathologist.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.