Welcome to J/W Mariceuticals Inc. powered by Cannascribe Online.
Complete the Patient Assessment form and applicable forms below to start the patient application process and schedule an intake appointment.
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.
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.
Responsible Individual Form
If you are filling out the form on behalf of a patient please click and complete the form below.
Once your Patient Assessment form has been submitted Cannascribe will contact you directly via your preferred method of contact to schedule an intake appointment. Please visit our list of Licensed Producers to learn more about our medical partners and providers.