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?
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?