Dietitian approved, fresh & tasty lunches, delivered

Lilly's Home Care (HCP Order Form)

Once form is completed, we will contact you to confirm customer details and delivery. If you need to contact us please call 0402 089 484 or email info@lillyslittlelunchbox.com

Customer Contact details

First name (Customer)

Last name (Customer)

Phone

Must start with +61

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Delivery Instructions

HCP Provider / Manager Contact details

HCP Provider (Business)

HCP Manager contact number

Must start with +61

Contact Person at HCP

Address

HCP Package Level (1–4)

Billing Preference

Direct invoice to HCP

Split invoice with participant

Self-funded

Weekly Subscription Preferences

Let us know how many meals and/or soup packs you’d like delivered each week. You’ll be able to change your selections for future weeks anytime.

Click here to view the Lilly's Home Care menu

Main Meals (main, fruit and custard/yoghurt)

Quantity per week

Soup Packs – (4 serves per pack)

Quantity per week

Week One Meal Selections

Choose your preferred mix for your first week’s delivery. Our team will confirm your selection and reach out to confirm future changes if needed.

🍲 Soup Packs (Select Your Quantities)

Pumpkin Soup - Contains: Dairy

1 Pack

2 Packs

3 Packs

4 Packs

Quantity (Packs of 4)

Minestrone Soup

1 Pack

2 Packs

3 Packs

4 Packs

Quantity (Packs of 4)

Pea & Ham Soup - Contains: Dairy

1 Pack

2 Packs

3 Packs

4 Packs

Quantity (Packs of 4)

Chicken Noodle Soup - Contains: Gluten

1 Pack

2 Packs

3 Packs

4 Packs

Quantity (Packs of 4)

🍽️ Main Meals (Select Your Quantities) Also come with seasonal mixed fruit and your choice of yoghurt or custard.

Vegetarian Lasagne - Contains: Gluten, Dairy, Egg

Quantity

Napoli Penne Pasta - Contains: Gluten

Quantity

Tuna Mornay Pasta - Contains: Seafood, Gluten, Dairy

Quantity

Cottage Pie - Contains: Meat, Dairy, Gluten

Quantity

Spaghetti Bolognaise - Contains: Meat, Gluten

Quantity

Napoli Ravioli (Beef) - Contains: Meat, Dairy, Gluten, Egg

Quantity

Meatballs in Napoli Sauce - Contains: Meat, Dairy, Gluten, Egg

Quantity

Chicken Pesto Pasta Salad - Contains: Meat, Dairy, Gluten

Quantity

All Meals come with seasonal mixed fruit and your choice of yoghurt or custard. Do you prefer Yoghurt or Custard or would you like both?

Yoghurt with all meals

Custard with all meals

I'm happy with either

Delivery

Lilly's Home Care services all major cities, towns and regions in SEQ, NSW, ACT & VIC

Some areas are excluded. See our regional map and delivery areas for more details.

In the questions below please indicate your preferred delivery date available to your location

I understand that the invoice will reflect preparation & delivery charges to be billed to the HCP (or myself, depending on billing preference), and that food costs may be charged separately in accordance with my HCP funding.

Yes

I agree to communicate any meal changes by email ( info@lillyslittlelunchbox.com ) at least 6 days prior to my delivery date

Yes

Once submitted, you’ll receive an email confirmation and our team will be in touch to confirm your first delivery date and payment/billing info.