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We require that every patient fill out an intake form every year. Medications change, surgeries occur, major changes of health, changes of cannabis use patterns, etc., which all inform the provider (us) so 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 our form, as you will need to upload a photo of each for your 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.

If you have been approved for a Medication Management Appointment, please fill out the following form.

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