Patient Application
Thanks for filling out the application for the FreshRx 'Food is Medicine' Program for North Tulsans living with Type 2 Diabetes!
We are currently working through a large waitlist, so this application helps us screen you. Unfortunately, it doesn't guarantee a spot in the program.
Enrollment can take up to three months. A FreshRx team member will follow up with you to perform the full enrollment process.
Note: By completing this application, you agree to be part of a research study evaluating the program. Participation in this study is completely voluntary and anonymous. The information you provide will be combined with responses from other individuals.
You may contact Erin Martin at erin@freshrxok.org if you have any questions about this research.