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 intake form below to start services
Download intake form below to start services
Within the City of Victoria:
- Mobile Meals Intake Form (for services including home-delivered meals within the City of Victoria)
- Transportation or Congregate Meals Intake Form (for services other than home-delivered meals within the City of Victoria)
Outside Victoria City limits:
Your 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
