Medical Providers

Fill out the client intake form below to refer someone to receive Meals on Wheels for WNY services. Service time to be determined by availability. You will be notified within 24 hours of receipt of this form (excluding weekends and holidays) at which time the program will be explained in full.

Client Referral Form

Client Referral Form

  • All of our diets as served, hot and cold meals, provide approximately 1,100 calories. We are NOT able to provide any restrictions on fluid. We cannot accommodate personal preferences and/or food allergies. Renal Diet Includes 55 grams of protein, 1 gram phosphorous, and 1.5 grams potassium.