Please complete the form below. Wait times vary based on our current waiting list. Need a physical copy of the form or an estimated wait time? Contact Skylar O’Donnell, M.S. RDN, at skylar@reviveandthrive.org or (616) 416-1044.


Questions? Contact Skylar O’Donnell, M.S. RDN, at skylar@reviveandthrive.org or (616) 416-1044.


This service is funded in part by the Kent County Senior Millage. Learn more at www.aaawm.org/kcsm.

Revive & Thrive is an equal opportunity provider.