Off Their Plate - Healthcare Facility Representative Form
Off Their Plate is an organization working to provide meals to frontline COVID-19 healthcare workers and restore the livelihoods of our restaurant workforce. We are receiving a number of requests from healthcare facilities who could benefit from our restaurants' nutritious, pre-packaged meals as we continue to expand.

If you know of a hospital or team that would benefit from Off Their Plate, please help us connect to them by sending this form to a hospital representative who has information about that facility's staff meal needs.

If you are a representative of a healthcare facility and have frontline COVID-19 healthcare workers, please complete this form and we will reach out as soon as possible.

Thank you for all the work your teams have done and continue to do during this crisis!
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Email *
Organization name *
Organization address *
Organization website
Your name *
You will be our point person moving forward for coordinating meals with Off Their Plate.
Your Phone Number *
Where is your organization located? *
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