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Home
About Us
Services
Nutrition
Licensed Dietician Services
Partnership
Partnership
Outpatient retention
Clinical Trial Compliance
Community Outreach
Impact
Volunteer
Contact Us
Donate Now
Get Started with Food4DC
First Name
Last Name
Email
Phone
Type
Work
Home
Mobile
Other
Are you age 60 or older?
Yes
No
Are you disabled?
Yes
No
Do you require assistance with grocery shopping?
Yes
No
Do you require assistance with preparing meals?
Yes
No
Is anyone in your family under the age of 60 in need of home delivered meals?
Yes
No
Do you require help maintaining nutritional health?
Yes
No
Are you interested in home delivered meals?
Yes
No
Would you like a consultation with a Registered Dietitian to get help with nutrition and health?
Yes
No
What is the best way to contact you?
Phone 8am - 12 noon
Phone 12 noon - 4pm
Phone 4pm - 8pm
Text
Email
Which insurance coverage do you have?
Medicaid (DC Health Care Finance)
AmeriHealth Caritas DC
WellPoint (Anthem Medicaid)
Amerigroup DC
Medicare
Medicare Advantage
Commercial Insurance
No Insurance
Something else
More than one insurance
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