Apply for Meals | Meals on Wheels Central Texas

Whether it's for yourself or someone else, complete the form below to submit your request for meals. We understand that choosing the right service can be a significant decision and we’re here to help make the process as smooth as possible

We currently serve Travis County and portions of its surrounding counties.

Call 737-218-4223 to see if we serve your area.

You may use this form to refer someone or you may fill it out on your own behalf. Due to the volume of inquiries, it may take 1-2 weeks for us to get back to you. We thank you for your patience.

Who are you referring for services?

Does this person know they are being referred for home-delivered meal services?

What is your relation to person you are referring?

Your First Name

Your Last Name

Your Phone number

Your Email

I want to receive text messages

By clicking this box, you agree to receive SMS. You Can reply "Stop" to opt-out at any time.

Please provide the following information for the person you are referring.

First Name

Last Name

First Name

Last Name

Street Address

City

State

Zip Code

Date of Birth

Phone Number

Agree to receive text messages

By clicking this box, you agree to receive SMS. You can reply "Stop" to opt-out at any time.

Veteran Status

When is the best time to contact you?

What is the best way to contact you?

When is the best time to contact this person?

What is the best way to contact this person?

Caregiver First Name

Caregiver Last Name

Caregiver Relation to Person being Referred?

Caregiver Email

Phone Number for Another Caregiver

Caregiver is ok to receive text messages

By clicking this box, you agree to receive SMS. You Can reply "Stop" to opt-out at any time.

Health conditions preventing meal preparation? Any additional information?

We understand that every situation is different! If you have any questions, please give us a call at 512-476-6325.