Apply or Refer Someone for Service | Meals on Wheels Rowan

Who is eligible for Meals on Wheels?

Rowan County Citizens who are homebound seniors, 60 years of age or older, who are unable to grocery shop or prepare nutritious meals for themselves.

Being homebound implies that due to age, recovery from surgery, illness, or due to disability, an individual is unable to prepare their own meals or has no caregiver to assist them with meals.

How to Apply

Complete the online form below for the fastest service. Once submitted, a Care Coordinator will contact you in 3-5 business days. Our team is here to help you. Please call 704-633-0352 to speak to a Care Coordinator about how to get started.

ONLINE PARTICIPANT/REFERRAL APPLICATION

Today's Date

Type of Referral

Name of Agency

Relation to Referred Individual

Other

Requested By Name(s)

Phone Number

Email Address

Referred Individual's Information

Name(s)

Age

Phone Number

Street Address

Emergency Contact & Phone

Health Issue(s)/Reason for Service

Who should we speak with to schedule an appointment?

Additional Information

Anticipated Hospital Discharge Date

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Math question

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If you would prefer to fill out a print version of our volunteer application, click below. Print and mail the completed application to:

Meals on Wheels Rowan

PO Box 1914

Salisbury, NC 28145

APPLICATION FOR SERVICE