Application For Registration
This is the first step in registering. However, in order to complete the registration process, we will require you to present your prescription for medical marijuana, along with a valid government issued photo I.D. at any of our locations.
Date Of Birth:
MMAR/MMPR # (If Applicable):
Medical Conditions & Symptom:
How Long Have You Been Using Cannabis?
How Long Have You Been Using Cannabis As A Medicine?
How Does Cannabis Affect Your Symptoms?
How Much/How Often Do You Use Cannabis?
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