FOR EXISTING PATIENTS


Send us your new doctor's recommendation using the form below:

Please note we can only process patients during business hours:

Mon-Fri 10am-8pm, Sat 11am-7pm, Sun Closed


Patient information:

 
Name *
Name
Expiration Date for New Medical Marijuana Recommendation *
Expiration Date for New Medical Marijuana Recommendation
As shown on your doctor's recommendation
Phone Number *
Phone Number
If we need to contact you
 

Upload Doctor's rec. for medical marijuana:

JPG, PNG, or PDF:

 
 

Questions? Call us at: (408) 930-0370