Apply for Grocery/Meal Deliveries

Fill out this form ONLY if…

  • You are homebound
  • You have a significant medical condition that makes it impossible for you to pick-up groceries or meals yourself
  • You do not have access to transportation that would enable you to pick up groceries or meals yourself
  • You do not have a friend, family member, or health aid who can pick-up groceries and meals on your behalf
  • You live in our delivery service area of northeast Essex County in Massachusetts, including Gloucester, Rockport, Manchester-by-the-Sea, Essex, & Ipswich.

We will aim to process your application within one business week, and will reach out with any questions.

For a PDF of this application, click here. Applications can also be mailed to28 Emerson Avenue, Gloucester, MA 01930 (to the attention of Delivery Program).

Your Medical Verification from your PCP may be faxed to 978-865-3847.

If you need emergency groceries while you are waiting for this please call us at 978-283-6776.

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