Healthy Food Hub Hypertension Intervention

Weekly Family Therapeutic Foods for High Blood pressure delivered to your drop off points or at your doorstep.

To receive this service we are asking the following:

1.Your family prepares the food as instructed/advised to get the most medicine from the food.

2. You allow us to monitor your & your family's blood pressures

3.We can take or have access to blood test results to monitor your progress while on this regimen.

4. Family members complete surveys during and upon completion of the intervention

In addition, you will receive virtual self care supports including: meal planning, recipes, mind body, stress reduction & enhanced oxygenation hacks.

This is a community based intervention is sponsored by IL EATS & Healthy Food Hub. THIS IS NOT A RESEARCH PROJECT. NO UNIVERSITIES ARE INVOLVED IN THIS INTERVENTION!

The weekly therapeutic foods are FREE!

Accepting applications in the following zip codes for the rest of fall 2024 and growing season 2025: 60620, 60619, 60627, 60628, 60472, 60425

Name

Address

Telephone Number

How many people are in your household/family?

1-2

3-4

5-6

Have you or a family/household member been diagnosed with High Blood Pressure?

Yes, my blood pressure or someone or in my family had a reading over 140/90

Yes, I was told or someone in my family has been told the reading was slightly elevated above 120/80. I have told I am pre hypertensive

No, I have not been diagnosed with high blood pressure but, I really think I have it.

Are there any other health challenges you or your family members are facing that we need to be aware of when prescribing your Family Rx Bags?

Please select the following that is most describes you and your family's healthcare situation?

You and your family/household members do have a medical home/care provider

Not all of my family/household members have a medical home/care provider

None of my family/household members have a medical home but want one/care provider

My family/household members do what we can to care for ourselves and do not seek a care provider

If , your family/household members to have a medical home/care provider, what is the name of it?

I am consenting for my family/household to participate in the Healthy Food Hub Hypertension Intervention. By submitting this registration I am agreeing to:

1. Your family prepares the food as instructed/advised to get the most medicine from the food.

2. You allow us to monitor your & your family's blood pressures

3. Access to blood test results to monitor your progress while on this regimen.

4. Family members complete surveys during and upon completion of the intervention

Yes, agree to the above requirements to receive the free Rx Bags Therapeutic Foods for High Blood Pressure