Sample forms and resources are provided for example purposes only. They should be updated and modified according to your local laws and your organization’s needs.

POMP To Go Part 1: How to Start Measuring Your Performance?

September 15, 2015

What is Pomp to Go? POMP stands for Performance Measurement Outcomes Project. Why is performance measurement important for you? Performance measurement data is useful for: Monitoring and improving the quality of services; Examining the effect of services on recipients; and Providing empirical evidence on which to base program improvements and funding decisions. But where do… Read more »

Enjoy Your Meals: Eating Well As You Get Older

April 15, 2015

Eating is one of life’s pleasures, but some people lose interest in eating and cooking as they get older. They may find that food no longer tastes good. They may find it harder to shop for food or cook, or they don’t enjoy meals because they often eat alone. Making small changes can often help… Read more »

Sample Consumer Needs Evaluation

April 16, 2015

A sample consumer needs evaluation form. Meals On Wheels, Inc. of Tarrant County (MOWI) has been utilizing basic evidence based screening tools but has very recently expanded its screening process to include other evidence based screening tool to better assess clients’ need and health risks. This template is provided for reference purposes only, to assist… Read more »

Sample Client Intake Form

April 16, 2015

A sample client intake from from Meals On Wheels, Inc. of Tarrant County (MOWI).  MOWI has been utilizing basic evidence based screening tools but has very recently expanded its screening process to include other evidence based screening tool to better assess clients’ need and health risks. This template is provided for reference purposes only, to… Read more »

Sample Home-Delivered Meal Driver Sign-Out Log

April 16, 2015

A sample log sheet for each home-delivered meal route driver to sign-out meals. This template is provided for reference purposes only, to assist those interested in developing forms and documents which fit the needs of their program. This is not a substitute for advice from a qualified legal, policy, regulatory or other subject matter expert…. Read more »

Sample Home-Delivered Meal Packing Slip

April 16, 2015

Sample form for delivering meals food items to a home-delivered meal distribution site. This template is provided for reference purposes only, to assist those interested in developing forms and documents which fit the needs of their program. This is not a substitute for advice from a qualified legal, policy, regulatory or other subject matter expert…. Read more »

Sample Contract Addendum – Short Form

April 15, 2015

Contract addendum for a senior nutrition program, to ensure home-delivered meal services are accessible to all clients, regardless of disability. This template includes sample provider requirements language. This template is provided for reference purposes only, to assist those interested in developing policies and procedures which describe the unique circumstances and operations of their program. This… Read more »

Sample Contract Addendum – Long Form

April 16, 2015

Contract addendum for a senior nutrition program, to ensure home-delivered meal services are accessible to all clients, regardless of disability.  This template includes sample provider and food service requirements language. This template is provided for reference purposes only, to assist those interested in developing policies and procedures which describe the unique circumstances and operations of… Read more »

Sample Civil Rights Compliance Paragraph

April 16, 2015

Sample text for a civil rights compliance section of a vendor contract. This template is provided for reference purposes only, to assist those interested in developing policies and procedures which describe the unique circumstances and operations of their program. This is not a substitute for advice from a qualified legal, policy, regulatory or other subject… Read more »

Sample Congregate Program Packing Slip

April 16, 2015

A sample packing slip for delivery of food items to a congregate meal site. This template is provided for reference purposes only, to assist those interested in developing forms and documents which fit the needs of their program. This is not a substitute for advice from a qualified legal, policy, regulatory or other subject matter… Read more »

2012 Older Americans : Key Indicators of Well-Being

April 16, 2015

Older Americans 2012: Key Indicators of Well- Being (Older Americans 2012) provides a comprehensive, easy-to-understand picture of our older population’s health, finances, and well-being, drawn from the most reliable official statistics. The indicators are categorized into five broad groups: population, economics, health status, health risks and behaviors, and health care. In addition, the report contains… Read more »

National Survey of OAA Participants

April 16, 2015

These public use files provide information on a collection of annual national surveys of recipients of Older Americans Act (OAA) program services reporting on service quality and consumer-reported outcomes. The instruments also measure special needs characteristics of the people who receive services such as physical and social functioning.

The Peanut Institute

April 16, 2015

The Peanut Institute is a non-profit organization that supports nutrition research and develops educational programs to encourage healthful lifestyles that include peanuts and peanut products.

Health System Measurement Project

April 16, 2015

The Health System Measurement Project tracks government data on critical U.S. health system indicators. The website presents national trend data as well as detailed views broken out by population characteristics such as age, sex, income level, and insurance coverage status.