Prospective Clients

stock-photo-close-up-of-senior-adult-woman-laughing-on-phone-220380241 Thank you for your interest in Meals on Wheels of Columbia! We look forward to serving you. Use this page as a resource as you consider signing up for our program. We serve individuals hot noon meals who live in the city limits of Columbia, Missouri. We will be in contact with you shortly.

Name:

Address:

Phone:

Email:

Type of living:
HouseApartmentTrailerCondo

Birthdate:

Veteran:
YesNo

Start Date:

Race:
CaucasianBlackAsianOther

Gender:
MaleFemale

Who referred you to MOW?

Reason for Service:
Chronic illness or DisabilityAge (65+)Recent HospitalizationOther

Emergency Contact Name:

Emergency Contact Phone:

Relationship:
SonDaughterRelativeFriendPOAOther

Physical Status:
Vision-OKHearing-OKMobility-OK

Diet:
RegADA2grSodiumRenal

Want a free loaf of bread on Wednesdays?:
WhiteWheatNone

Milk Pref:
1%SkimWholeJuice

Food Dislikes: (if none, type "none")

Food Allergies: (if none, type "none")

Difficulty Chewing or Swallowing
YesNo

Our Client Says

"These people that bring out meals are so very nice. Been very sick. They make me smile and feel life worth living."

Company Profile

Meals on Wheels of Columbia is a non-profit organization that aims to extend independence to seniors in our community. Through the help of our many volunteer drivers, we are able to provide a hot, nutritious meal to those with limited mobility.Read More

Email Updates

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