Initial Evaluation & Intake Form

NEW Patients – Please print and fill out the following forms and bring them with you to your appointment.


Follow-up Form

CURRENT Patients – Please print and fill out the following forms and bring them with you to your appointment.

State Registry Application

After your appointment with the doctor, you will need to submit a registry card application to the Office of Medical Marijuana Use. You can complete the registration process online or you can print and mail the application, along with the required documentation, photo, and fee.

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