Email your proof of condition to [email protected] by clicking the button.
What to email? You will need to provide any record from your medical provider that says you have been diagnosed for the condition you require medical marijuana for. The proof can be a simple medical record showing your diagnosis; or a copy or photo of your prescription(s) for your medical condition; or x-rays or an mri.
IMPORTANT: Without proof of your condition, the medical marijuana doctor will not approve you for your recommendation. Our physicians do not accept minors under the age of 18 as patients.
Complete our online Patient Intake forms. Upon submission you will schedule your appointment.
Follow this link to download a copy of the HIPAA Notice of Privacy Practices.
Please note, your address MUST match your FL drivers license or FL ID before completing the state’s application process. Please visit the FL DMV to make any necessary changes now. We request a copy of your license or ID for our records. You are responsible for uploading the required documentation for proof of residency to the state.
DISCLAIMER: By submitting and signing our Patient Intake forms you acknowledge you are a patient of Medical Marijuana Clinic, not the physician you will see at your scheduled appointment. If at any time that physician is no longer associated with Medical Marijuana Clinic, you will be activated in the Medical Marijuana Clinic’s medical director’s registry account.
After your forms are submitted, you should be redirected to our online scheduler.
Select your preferred location and New Patient service.
If you are not automatically redirected after submitting the online forms, just return to this page and follow the Schedule an Appointment button link. Please note: when clicking the ‘Done’ button after you’ve finished the forms, they will be automatically emailed to us.
CANCELLATION POLICY: We are committed to providing exceptional care. Unfortunately, when one patient cancels without giving enough notice, they prevent another patient from being seen. To avoid a $30 cancellation fee, just text us at (813) 774-3474 before 10:00 am the day prior to your appointment or the Friday before if your appointment is on Monday.
Text us at (813) 774-3474 if you need assistance. We are happy to help!
Not sure if you qualify? Complete the application below…