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COVID-19 Food and Pharmacy Community Care Program

Application

 

While we encourage you to consider reaching out to family, friends and neighbours as a first source of assistance, if you have exhausted those options or cannot make use of them please proceed with your application.

Neighbours, friends and family are encouraged to distribute and or make those without internet aware of this program and application.

This is a once-a-week service from the Spirit River IGA grocery store and Rexall drug store. Orders need to placed by the client or client's family and will have to be prepaid (see details below). Staff will then pick up and deliver to the client's door. Staff will not be allowed to enter into clients home.

*Rexall payment form

This COVID-19 Food and Pharmacy Community Care Program is available for vulnerable citizens in our communities. This includes residents who:

  • Are unable to visit stores and/or pharmacies because of self-isolation
  • Have been asked to isolate themselves due to international travel or exposure
  • Live in a location within the Central Peace service area where delivery service is not available

Should you require assistance, please complete the form below. Once your form has been processed, you will be contacted by an FCSS Coordinator.

For health related information please go to Alberta Health Services 

For COVID-19 assessment please go to myHealthAlberta.  

- Local Information -

Image of CPREM logo

Central Peace Regional Emergency Management has created both a website with resources for families and businesses, and, a Facebook page with the latest updates on the COVID-19 pandemic. Simply click on the links below:

 

Payment

Please note: The client or client’s family will be responsible to phone ahead and order the supplies as well as making payment arrangements with the Spirit River IGA and Rexall Drugs in Spirit River

Groceries - Please call Rhonda or Randall at 780-864-4096 to make payments arrangements for your grocery purchases

Medications - If you are requesting assistance with delivery of medications please download and fill out and print off this form for Rexall. Once you have your Rexall form ready, you will need to call the 1-844-382-4021 Monday-Friday 9-5 (EST) and have all the information requested on the form and they will get your credit card information. This will not be done at the store level. Once you have registered with Rexall, you can call Spirit River Rexall at 780-864-3872 and place your order for pick up.

 

Personal Information

Please note: If you are filling this form out as a fillable pdf, or a physical/printed form, some of the 'Yes/No' answers may appear to be pre-populated. This is simply an aspect of the conversion of the form from online to pdf format.

a) If using a fillable pdf simply click your answer to the question and it will register you answer.

b) If filling out a physical/printed form, simply indicate your answer and, if different than the pre-populated answer, cross out the pre-populated answer.