Riverwood Connects: Food Rx Program
Riverwood is proud to be offering resources through our Riverwood Connects: Food RX Program. This program allows individuals to receive Community Supported Agriculture (CSA) shares every week and Riverwood Connects Market Bucks to spend at the Aitkin Farmers Market. Please fill out this short form to see if you qualify. Your contact information will be used to connect with you about the program and whether you qualify.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
For the following statements, please answer true, sometimes true, or never true. Within the past 12 months I/we were worried whether our food would run out before we got money to buy more.
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Often True
Sometimes True
Never True
For the following statements, please answer true, sometimes true, or never true. Within the past 12 months the food I/we bought just didn’t last and I/we didn’t have the money to get more.
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Often True
Sometimes True
Never True
This is currently a research program with Riverwood Healthcare Center and offered to their patients. Do you currently receive services with a Riverwood Healthcare provider?
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Yes, I receive services with Riverwood
No, I do not receive services with Riverwood
How did you hear about the Food Rx Program
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Riverwood Provider
Aitkin County WIC
Aitkin Food Shelf
Other
Submit
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