Get ready to apply
Just In Power Kids
Clean Cuisine Healthy Meals
What you get
Up to $500 a year for healthy prepared meals sent to your home. Ask whether requests are open.
- Who starts it
- You, with a document from your social worker or doctor
- How it’s sent
- Email to bethanyjipk@gmail.com, or by post
- Your time
- About 15 minutes, plus waiting for the document
- Last checked
- Aug 27, 2026
Before you start, check you fit
- A provider must verify the patient or diagnosis.
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Ask your social worker or doctor for the documentStart here. This is the part that takes the longest.
Just In Power Kids needs a signed confirmation of the diagnosis from your social worker or doctor. Copy this message, or say it in person at the next visit.
Hi [social worker’s name], We’d like to apply to Just In Power Kids’s Clean Cuisine Healthy Meals. They offer up to $500 a year for healthy prepared meals sent to our home, and we are checking whether they are taking requests. They need a signed confirmation of the diagnosis from you or someone on the care team. Their form and instructions are here: https://justinpowerkids.org/application Could you do that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their formPrint it, or fill it in on screen if the PDF allows.
Open the application PDF ↗ Checked Aug 27, 2026What the form asks for
Parent/guardian and patient needsChild’s NameChild’s Email (if applicable), Date of Birth, Gender, and Mailing AddressCaringbridge/social media pages (we love to follow the child’s journey)Child’s Favorites (hobbies, activities, sports, colors, food, tv show, movie, characters, animals, toys, anything else)Child’s siblings names, genders, and agesParent/Legal Guardian name, phone, and email (two contact blocks)Healthy Meals - We will provide healthy meals (up to $500 per year) from our partner company, Clean CuisineMedical assessment · your care team fills this inHospital NameHealthcare professional name and title, email address, and phone numberType of Cancer and Date of DiagnosisIs the child currently undergoing treatment? If not, last day of treatmentI verify that this patient is in treatment or has been treated: (Healthcare professional signature & date)Liability and publicity authorizationI grant / I deny permission for use of my child’s name and imageIf child has two parents or legal guardians, both must sign belowHave ready
- Completed 2025 program application with Healthy Meals selected.
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Email your application and the document togetherTo bethanyjipk@gmail.com. Or post it to the address on the form.
- Email the completed signed application to bethanyjipk@gmail.com or mail it to 1100 Business Pkwy S Unit 4, Westminster, MD 21157.
Email: bethanyjipk@gmail.com
Subject: Clean Cuisine Healthy Meals application, [child’s name] Hello, Attached are our completed application and the document from [social worker’s name] at [hospital]. Please let me know that it arrived and if anything is missing. Thank you, [your name] · [phone]
After you send
Expect an email or phone call from the Program Director; contact Bethany if no acknowledgement arrives.
