NUTRITIONAL
  SERVICES

             MEALS
                       ON WHEELS  

  Serving Seniors in Muskegon, Oceana and Ottawa Counties

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 Refer a Senior in Need

To refer a homebound senior in need for Meals on Wheels services in the Muskegon, Oceana or Ottawa County area, fill in the information below and click the submit button.

Please provide the following information about the senior you are referring. Fields marked with an * must be completed.

Senior's Name*
Date of Birth
Street Address*
City*
State*
Zip
County
Township
Phone Number*

Please provide the following information about yourself (the person referring the senior in need) so that we may follow-up with you regarding this Meals on Wheels referral.

Your Name*
Your relation to the senior referred*
Home Phone
Work Phone
Best time/place to contact you*

All information submitted to Nutritional Services will be kept strictly confidential.  Please click the Submit button below to send the referral information enter above.