[NFBF-Miami-Dade] FW: Registration for senior meals

[Jorge Hernandez]

In behalf of Willie lucas please read below:

 


The Community Action and Human Services Department is staffed at the EOC to
assist senior citizens that may need special assistance during this period.

This applies to all seniors, regardless of whether they are participating in
a County senior program or not.   Seniors are receiving and will receive
meals on a 10- or 7-day cycle. County Staff will call citizen back within
2-3 days.

 

 

We need the following information for each person over 60 years old:

 

Name: 

Address: 

Phone: 

Age: 

Preferred Language: 

Are you a Veteran or Spouse of a Veteran? 

Are you currently enrolled in a congregate meal site or Senior Meal Program?


If yes, provide the name of the program?

If No, how do you currently access meals? 

Any Dietary Food Restrictions? 

Vegetarian

Kosher/religious/ Specific Meals

Other

 

Living Arrangement?

able to walk and answer the door? 

do you live alone? 

When was the last meal you ate? 

 

Please provide any Additional Information you think we may need

 

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