Heidi, they should be willing to give you the trial number over the phone, don't wait for the appt. Also since your mom is on a peg tube, if someone else will just hook her up and put her in a comfy chair or sitting up in bed on a slow drip, she won't feel full and you can literally be feeding all day. No more weight loss! At her age and condition that nutrition could be a tipping point in her progress, both positive or negative. If the formula they are prescribing is making her feel sick, try Real Foods, Their pre blenderized meals are real food, and nutritionally balanced. Google them or I will send you a link.