Transportation Registration

Complete this form if you're interested in the Wheels for Wellness transportation program. The intake coordinator will call you to complete the registration.

 

Wheels For Wellness - Transportation Registration.

 

Do you need assistance to get to your wellness appointment ? With Wheels for Wellness, we offer transportation services for adults with disabilities and seniors (55+) to help make commuting easier.  

 

Fill out the application below to begin your registration process for transportation services.  Once the application has been successfully submitted, an Intake Coordinator will call you to complete the registration.  

 

Meals on Wheels London provides a healthy food delivery service for adults with disabilities and seniors (55+) in need of nutritional support by assisting those who need short-term (caregiver relief, recuperation, seasonal) or long-term assistance. No long-term contract is necessary.

 

Exclusions: No transportation for children or pets, individuals following day surgery or any procedure that requires general anesthetic or sedatives, or a person(s) who require wheelchairs, scooters or heavy walkers.”

 

Client Information

Client Details

Please be ready to provide two emergency contacts when speaking with staff.
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