To sign up for services we need a Client Intake Form on file. You can download and print out an intake form below, pick one up at our office, or have us mail or email one to you.
Download the intake form below to start services
Download the intake form below to start services
- Mobile Meals Intake Form (for home-delivered meals in Victoria County, Cuero, and Thomaston)
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Congregate Meals Intake Form (for Connection Cafe Services)
our completed Intake can be emailed, faxed, mailed, or hand delivered to us. Once received, we can assess your eligibility. For assistance call the Intake Coordinator at 361-576-2189 Option 2
