Para información en español por favor llame al 619.314.5789 y pida para hablar con Chris o Gustavo.
How to Become a Client
The Home Delivered Meal Program is designed for individuals that have been diagnosed with a critical illness and are unable to independently prepare their own meals. Please see the steps below to become a client. If you have any questions or require assistance, please do not hesitate to call Client Services at 619.314.5789.
STEP 1: Referral Forms
A referral form may be completed by a medical case manager, medical social worker or healthcare provider (MD, NP, PA, RD, RN or LCSW). In all cases, the referral form must be signed by a healthcare provider (MD, NP, PA, RD, RN or LCSW).
- Home Delivered Meals Referral Form (HIV, Cancer, Type 2 Diabetes)
- Congestive Heart Failure Referral Form
- Chronic Kidney Disease Nutrition Program Referral Form
- Mama’s Kitchen also provides meals to legal dependents ages 2-17, Dependent Referral Form
All forms must be filled completely out before client can be considered for service.
Referral forms must be sent to our confidential email address email@example.com or fax 619.233.6283
Completed referral forms are reviewed by staff. If additional information is required, Mama’s Kitchen staff will reach out to the medical case manager, medical social worker or healthcare provider that completed the referral form. In all cases, the referral form must be signed by a healthcare provider (MD, NP, PA, RD, RN or LCSW).
STEP 2: Intake Phone Call
We will be conducting an intake phone call with you. This phone conversation takes 10-15 minutes and we will explain our program, the delivery schedule, and discuss how to find your apartment or home. A nutrition assessment to discuss food allergies will be conducted by a Registered Dietitian during the intake process.
If you do not qualify for our service, information on additional resources will be provided over the phone.
STEP 3: Meal Delivery
We will deliver fresh, healthy meals to your home. Each delivery includes enough meals (breakfast, lunch, dinner and healthy snacks) to last until the next delivery. During the intake phone call the specific delivery days and times will be determined. You or your representative must be home to receive the meals.
STEP 4: Program Recertification
Every six months, your healthcare provider or medical case manager will need to recertify your program eligibility. At this time, your healthcare provider will recertify if you are still in need of our home-delivered meals.
Recertification Form: Click here to download
Recertification forms must be sent to our confidential email address firstname.lastname@example.org or fax 619.233.6283.