ATTENTION NEW PATIENTS: Before you may purchase any type of medical marijuana products from our establishment we will first need to be verified your records.
In accordance with California state a patient ID must be verified in order to fill your prescription.
Please complete the following form. Upon receipt and verification of your submission, a company, might contact you to set up an appointment and instructions on how to place future orders.
Patient and Doctor Information:
Note: This example website design created by Mary Janez Brand to show how a verification page may look, this is only a mock design. We do not sell any cannabis or products. We only provide creative media services to cannabis related businesses that will help to brand their identity and create marketing materials. If this was a live working dispensary or collective website you would be directed to fill out the following form. This site is only an example of how your new business website might appear.