Step 2 - Basic Qualifications
Are you 18 or older?
If not 18, you must have a parents signiture on the final application. If you have your parents permission, click "yes" to this questions to submit.
Do you have a valid government issued ID?
Sorry you must have a valid ID
Step 3 - Qualifying Medical Conditions
Only choose conditions that have been FORMALLY diagnosed (based on lab, x-ray, MRI results, ETC.) by your MD or DO with corresponding medical records.
NOTE: If you are currently pregnant or breastfeeding, please wait to complete an application until you are not.
Step 4 - Medical Records
Have you visited an MD to discuss this specific condition within 1 year?
Do you have copies of these medical records in your possession?
Have you been prescribed any medications for your condition?
On your worst day, what is your symptom severity level? 1 = Mild & 10 = Severe:
Step 5 - Doctor Recommendation
Schedule an appointment to get your doctors recommendation at our marijuana clinic.
Which clinic location is most convenient for you?