Become A Patient

Please complete and submit the patient assessment forms to finish the patient registration process. The forms will take approx. 5-10 minutes to complete. Once the patient assessment forms are submitted one of our team members will contact you to confirm your info and schedule an intake appointment.

 
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Cannascribe supports both aspects of the ACMPR program. Whether you want to grow your own or conveniently order from a licensed producer. We work collaboratively with multiple producers to bring our patients and practitioners options in choosing the producer that best fits their needs. If you would like to get licensed to purchase from a Licensed Producer please continue below. If you are interested in submitting an application to grow your own medication under the ACMPR please contact us here. 

 

ACMPR LICENSE TO POSESS

Obtain your license in 4 easy steps: 

 

STEP 1 - PATIENT ASSESSMENT

Complete the Patient assessment form. This form will help our physicians with determining your eligibility for Medical Cannabis use. Please complete the whole form as well as the DocuSign link at the end. This section of the application will take between 5-10 minutes to complete. Patient Assessment Form 

 

STEP 2A - MEDICAL DOCUMENT REQUEST 

Download the form and get your Physician to complete it. Alternatively you can complete the online form below allowing Cannascribe to request your medical documentation from your physician on your behalf. If you do not have prior medical documentation please advise our office. Online Medical Document request form  or download the form here Download Medical Document request form 

 

STEP 2B - RESPONSIBLE INDIVIDUAL FORM

If you are filling out the form on behalf of a patient please click and complete the form below. Online Responsible Individual Form

 

Step 3 - Intake appointment

Cannascribe will contact you directly to arrange a consultation with a knowledgeable physician in our clinic or through a telemedicine appointment from the comfort of your home. Once successfully prescribed, we can assist you directly with education or if it is more convenient for you logistically, we can connect you with one of our verified partners. 

 

STEP 4 - selecting a licensed producer

Selecting a Licensed Producer; Cannascribe, will assist you in selecting the right Licensed Producer(s) that best fits your medical needs. Once you have been placed with a Licensed Producers you are ready to order your medication directly through them. The Licensed Producer(s) will send your order to you directly by mail to your designated address.

 

 

* In order to qualify for medical cannabis, you must be over the age of 20 (parental consent required under 25), have been diagnosed with a chronic condition that cannabis treats, and have tried at least one prior medication or treatment. Some exception may apply. 

 

Questions? We have answers.

 
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