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Groceries to Go Interest Form

Formulario de interés de Groceries to Go (Español)

The Groceries to Go program is currently full. If you wish to see if you are eligible to join a waiting list please complete this interest form and a representative will reach out to you soon.
1. Are you a resident of New York City (NYC)?  *This question is required.
2. Are you a member of NYC Care at NYC Health + Hospitals?   *This question is required.
2. Is anyone in your household already participating in Groceries to Go?