Upload your drivers license

Please take a clear picture of your drivers license or government issued ID and upload it.


Medical Complaint

From your answers, we create a medical file that is evaluated by your doctor.

MEDICAL COMPLAINT:
WHAT IS YOUR DATE OF BIRTH?
Why do we ask for your date of birth?
WHAT MEDICAL SYMPTOMS OR CONDITIONS DO YOU HAVE?
Please tell us more detail about specific medical condition(s):
Are you taking any medications?
do you smoke tobacco?
do you drink alcohol?
Have you consulted other health care providers about your medical condition?
Have you used medical cannabis to successfully treat your health problems in the past?
Have you had surgery or broken any bones?
Have you noticed any bad effects from using Cannabis?
Do you have chronic diseases such as:
a.High blood pressure?
b) Diabetes?
c) Thyroid?
d) Seizures?
e) Other?
Do you have or have you had:
a) Heart Disease?
b) Lung Disease?
c) Kidney Disease?
d) Liver Disease?
e) Brain or Neurologic disease?
f) Glaucoma?
g) HIV?
h) Cancer?
i) Operations (Surgeries?)
J) Minor Psych, ADD, ADHD?
k) Major Psych, Bipolar, Major Depression, Schizophrenia, Hearing voices?
Please write any other information that might be useful to the doctor:

Address

Once a doctor approves your recommendation, you will receive a PDF copy via email with in 10 minutes.

The physical copy of your medical cannabis recommendation will be shipped in a non-marijuana marked envelope. Delivery time is 2 to 4 business day.

If you don't want to use your home address, we can ship to any other location in california, free of chrage. Just click the box "Ship to another address"(below) and enter the info.

Please choose a delivery method:

MMJ recommendations are shipped via USPS

Price

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