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Do you or someone you love need a meal?

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Get a Meal

We serve people of ALL ages and ALL incomes who are homebound and unable to prepare their own meals. We serve people with temporary needs -- following surgery, severe illness, or during medical treatment -- and long-term needs, too.

Need more details? Visit our Meal Delivery, Feeding Friends, or Nutritional Drink pages first!

Please complete this form ONLY for individuals living in the following zip codes: 29464, 29466, 29492, 29451, and 29482. If the potential recipient does not reside in one of those zip codes, please call Trident United Way’s Hotline by dialing 2-1-1 to find a meal delivery program that delivers to their area.

Step 1 of 2

50%

Please select the option that best describes you.
- I am applying for meal delivery for myself.
- I am referring someone for meal delivery.
What is your relationship to the person whom you are referring?
- Family Member, Friend, or Neighbor
- Medical or Social Services Provider
Your Name
First Middle Last
Referrer's Relationship to Prospective Recipient
Address Where Meals Will Be Delivered
Street Address Address Line 2 City State ZIP Code
Your Phone Number
Your Email Address
Your Date of Birth
Month
Day
Year
Recipient's Name
First Middle Last
Patient's or Client's Name
First Middle Last
Patient's or Client's Phone Number
Patient's or Client's Date of Birth
Recipient's Phone Number
Recipient's Date of Birth
Month
Day
Year
Who will complete the intake process?
Whom should we contact to complete the interview process before the first meal delivery?
- Meal Recipient
- Referrer
Referrer Information
Referrer's Name
Prefix First Last Suffix
Referrer's Relationship to Prospective Recipient
Referrer's Title
Name of Referrer's Medical Practice or Agency
Referrer's Address
Street Address Address Line 2 City State ZIP Code
Referrer's Phone Number
Hidden
Referrer's Email Address
Referrer's Email Address
Who will complete the intake process?
Whom should we contact to complete the interview process before the first meal delivery?
- Meal Recipient
- Referrer

Medical Details
Please indicate the medical condition(s) or status(es) prohibiting you from preparing meals.
Please indicate the medical condition(s) or status(es) prohibiting this patient from preparing meals.
Duration of Service Requested
Please choose the option best describing the anticipated duration of meal delivery service.
- Ongoing
- Temporary
Additional Information to Note
Please provide any additional notes or details on your condition or status, i.e., discharge date, expected duration of service, if caregiver also needs meals, etc.
Additional Information to Note
Please provide any additional notes or details on the prospective recipient's condition or status, i.e., discharge date, expected duration of service, if caregiver also needs meals, etc.
Comments
This field is for validation purposes and should be left unchanged.

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Mailing Address
P.O. Box 583
Mount Pleasant, SC 29465

Street Address
2304 Highway 17 N
Mount Pleasant, SC 29466

Telephone: (843) 881-9350
Fax: (843) 881-0994

EIN# 57-0804618