Oregon Medical Marijuana Card Application

1Qualifying

Process your application, and review your current status.

We will need to review your medical records to confirm the diagnosis of a qualifying condition.

  • Clear & Current Diagnosis
  • Actively Seeking Treatment
  • Valid ID & Application Fees

2Clinic Appointment

We will call you to schedule an appointment at our clinic.

At your doctor's appointment, our Physician will discuss the health benefits & risks of using cannabis.

  • OMMP Card Evaluation
  • Cannabis Education
  • Approval To Get OMMP Card

3Get Your Card

Provide your Medical Marijuana Card recommendation.

Our Certified Marijuana Doctor will provide your OMMP recommendation & assist you submit your state application.

  • State Application
  • Submission Assistance
  • State Application Fee
Secure Application *Encrypted*
First Name:
Last Name:
Phone:
Email:
Address:
City:
Zipcode:
Birthday: (MM/DD/YYYY)
Step 1 - 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.
Marijuana related felony within 5 years?
The OMMP may not grant you a medical marijuana card if you have been convicted of manufacturing or distributing marijuana within 5 years.
Do you have a valid government issued ID?
Sorry you must have a valid ID
Step 2 - Qualifiying 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:

Severe Pain  
Nausea  
Muscle spasms  
Multi. Sclerosis  
Cachexia  
Cancer  
Glaucoma  
HIV+/AIDS  
Seizures  
Epilepsy  
Alzheimer's  
Migraines  
Fibromyalgia  
Disc Disease  
IBS  
Crohns 
PTSD  
Arthritis  

Please list your EXACT diagnosis and current treatments:
Anxiety, Depression, Insomnia, ADD, & ADHD are NOT qualifying conditions.
Step 3 - Medical Records
Have you visited an MD to discuss this specific condition within 1 year?
Do you have at least 2 documented MD visits stating your 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 4 - Doctor Recommendation
Schedule an appointment to get your doctors recommendation at our marijuana clinic.
Which clinic location is most convenient for you?
Would you like to receive more information regarding any of the following resources?
Cannabis Dispensaries  
Cannabis Delivery Services  
Finding a grower  
Becoming a grower for other patients 



By submitting this application, you confirm that all the information you provided is true and accurate. We look forward to working with you and will contact you shortly!