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To start your marijuana medical card application, please complete the questionnaire below. You must answer all the questions to the best of your knowledge. After completing the medical questionnaire, you will be asked you to make your payment. We accept Paypal, Visa, Mastercard, Discover, and American Express.

If you have additional questions, please call 619-866-4189.

  

Medical Questions

What medical condition(s) are your experiencing?

Does your medical condition(s) prevent you from performing life functions?

When did your medical condition(s) start?

Have you been treated by a licensed medical doctor for your condition(s)?

If yes, do you possess or have access to your medical records?

Were you ever prescribed medication for your medical condition?

Have your tried marijunana before?

If yes, explain how marijuana helped your medical conditions:

Appointment Information

What day(s) of the week work best?

What time works best?

What State do you live in?

What City do you live in?

What is your zipcode?

Contact Information

What is your name?

What is your phone number?

What is your email?

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