Retirement Home Application

If you or your loved one lives in a retirement home or long-term care residence we serve, complete this form and our team will connect this account to the right home. Once connected, you can order on the home's account with delivery direct to the resident's room.

A member of our Customer Relations team will confirm by email within two business days.

Have an account? Sign in first so we can attach this request directly to your account. You can also create an account, or simply submit the form below and our team will follow up by email.

  • Free Delivery Over $50

  • Reliable Home Delivery

  • Secure Checkout

  • Dedicated Customer Support