By clicking on the 'Get Results' button above, you are expressly agreeing: (i) that all information entered above is complete to the best of my knowledge, (ii) to allow Performance Kitchen “PK” to contact you via the contact methods listed above, and if you are an applicant other than a Healthcare Professional, (iii) to allow PK to verify and/or complete your application through third parties and through your Electronic Health Record (EHR) and (iv) to submit my application for any long-term meal benefit my plan offers on my behalf to my insurance company. I acknowledge that Performance Kitchen has no authority or obligation to approve or disapprove my benefit. In addition, please reference our Privacy Policy here.

¹Required entries only to attempt to verify your specific benefit