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Client Forms

Food & Friends provides home-delivered, medically tailored meals, medically tailored groceries, and nutrition counseling to people living with life-challenging illnesses. Determination of eligibility is entirely health-based; Food & Friends has no requirements for income or insurance coverage. All meals are free-of-charge to the client. Food & Friends clients must be referred by a healthcare provider.

Recertification Form
Referral partners can recertify a current client using the intake form below.
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HIPAA Notice of Privacy Practices
Food & Friends respects your privacy. We maintain records containing your personal health information that are protected by law.
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New Client Welcome Guide
Welcome to Food & Friends!
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Guía de bienvenida para nuevos clientes
¡Bienvenidas/Bienvenidos a Food & Friends!
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Acuse de recibo de la Notificación de las Prácticas de Privacidad
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Client Grievance Policy and Procedures
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Client Agreement
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Release of Information
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Acknowledgement of Receipt of Notice of Privacy Practices
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