Cooks children health plan 1

Hi and welcome to the Cook Childrens Food Benefit Program.

This survey will be used to determine your eligibility for the free food benefit program. If you are determined eligible by Cook Children’s Staff, you will receive one free, home-delivered food box (either prepared meals or groceries).

Please answer the following questions to help us determine your eligibility! If eligible, you will receive a confirmation within 7 business days.

Let's Get Started!

Enter your name

First name

Please enter your first name

Last name

Please enter your last name

Please enter your mobile phone number

Note: ONLY add a cell phone number that can send and receive SMS messages, so we can best support you with your orders.

Mobile Phone Number

Please specify an answer

Please enter your Cook's Childrens Member ID

Cook's Childrens Member ID

Please specify an answer

Please enter your delivery address

Where do you want your healthy meals to be delivered?

Address Line 1

Please specify an answer

Apt / Unit

Please specify an answer

City

Please specify an answer

State

Please specify an answer

ZIP Code

Please specify an answer

I agree with the terms and conditions and also happily agree to receive notifications from Tangelo about my authorization status and food deliveries.

Which free food box would you like to receive?

The program offers either a box containing grocery items (fresh produce and pantry goods) or a box containing prepared frozen meals.

1

Farm Fresh Mixed Grocery Box

2

Hispanic 5-Meal Box

3

Mediterranean 5-Meal Box

4

Hispanic Grocery Box

Do you have and special delivery instructions?

Please specify an answer

You're all done!

Here's what happens next...

1. Cook Children's Health is reviewing your situation and will make a recommendation on your eligibility to continue with the Tangelo nutrition program.

Hi and welcome to the Cook Childrens Food Benefit Program.

This survey will be used to determine your eligibility for the free food benefit program. If you are determined eligible by Cook Children’s Staff, you will receive one free, home-delivered food box (either prepared meals or groceries).

Please answer the following questions to help us determine your eligibility! If eligible, you will receive a confirmation within 7 business days.

Let's Get Started!

Enter your name

Please enter your mobile phone number

Please enter your Cook's Childrens Member ID

Please enter your delivery address

Which free food box would you like to receive?

The program offers either a box containing grocery items (fresh produce and pantry goods) or a box containing prepared frozen meals.

Do you have and special delivery instructions?

You're all done!

Here's what happens next...

1. Cook Children's Health is reviewing your situation and will make a recommendation on your eligibility to continue with the Tangelo nutrition program.

2. Be on the lookout for SMS updates about your enrollment!

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