We require that every patient fill out an intake form every year. Medications change, surgeries and major changes of health occur, cannabis/plant medicine use patterns shift... Updating your information annually ensures that we can provide the best guidance and support to you, the patient!

 

Please have your driver's license and proof of residency handy when filling out the MMJ intake forms, as you will need to upload a photo of each for your CCC registration.

 

We will call you at the scheduled appointment time upon completion of this form. If you have any questions, feel free to reach out to our support team at 844-464-3882.