Online Meal Request

Request Meals on Wheels Service

Complete the form below. Meals on Wheels People staff will call you to review your eligibility in the program. To discuss your eligibility, please call 503-953-8111 or toll-free 866-788-6325.

NOTE: To request a call to discuss the home-delivered meals program, please fill out the form below and we will contact you as soon as possible.

IMPORTANT: IN ORDER TO RECEIVE MEALS, Participants must be 60 years or older or turn 60 YEARS OF AGE within the next 6 months.

*required field

Requestor Information

Your Legal First Name:

Your Legal Last Name:

Your Phone Number:

Your Email:

Your Relationship to Client/Recipient:

Participant Information

Legal First Name:

Middle Initial:

Legal Last Name:

Date of Birth

Address:

Apt/Unit Number:

Apartment Complex (if applicable):

Phone:

Alternate Phone:

City:

State:

Zip:

Primary Language (if other than English):

Does the participant know meals are being requested?
yesno

Does the participant have a Medicaid / COPES case manager?
yesno

Name of Case Manager:

Phone Number of Case Manager:

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Contact Phone:

Relationship to Participant:

Meals on Wheels People is dedicated to providing healthy and delicious meals to older adults, 60 years of age or older, living in Multnomah County, Washington County, and Clark County. We are committed to supporting the well-being of seniors by delivering nutritious meals directly to their doors.

To ensure that services continue without a waiting list, Meals on Wheels People asks all meal recipients to consider making a contribution of any amount toward this service. Each meal costs over $10 to prepare and deliver. Any contribution received helps sustain this important service for seniors in the community.

For those who are unable to contribute at this time, Meals on Wheels People assures that meal delivery will continue without interruption — though this may be subject to change depending on future decisions at the federal level.

Request Meals on Wheels Service

IMPORTANT: IN ORDER TO RECEIVE MEALS, Participants must be 60 years or older or turn 60 YEARS OF AGE within the next 6 months.

Requestor Information

Participant Information

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