Choose a State

States Available*

Missouri

Montana

Oklahoma

Virtual Doctor Visit for Montana Residents*

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

5 oz. monthly allowance - $139

8 oz. monthly allowance - $189

Virtual Doctor Visit for Missouri Residents*

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

Price:

Virtual Doctor Visit for Oklahoma Residents*

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

Price:

Personal Information

Name*

Email*

Phone*

Address*

Birthday*

Social Security Number*

Why you need Treatment

Qualifying Conditions

Is this Appointment for a Renewal Card?

Yes

Will you cultivate and manufacture marijuana for your own use?

Yes

Medication/Medical Problems/Surgeries

Photo Uploads

Driver's License Upload*

Accepted file types: jpg, gif, png, Max. file size: 5 MB.

Please upload a clear color image of your driver's license or ID.

Photo Upload*

Accepted file types: jpg, gif, png, Max. file size: 5 MB.

The photo will be printed on the registry identification card.
Photos should resemble that of a driver’s license or passport photo and may not be enhanced or altered in any way.
The photo must be clear, in color and taken from the shoulders up.
The photo must be taken within the last six months which reflects the applicant’s current appearance.
The background of the photo must be plain, light colored, and free of clutter.
The individual must be directly facing the camera with a neutral facial expression or natural smile with eyes open.
No hats, bandanas, face masks, or sunglasses are allowed in the photo.

Choose Appointment Date & Time

Select a Date and Time for your Appointment.*

Payment Information

Virtual Doctor Visit for Montana Residents

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

5 oz. monthly allowance

8 oz. monthly allowance

Virtual Doctor Visit For Missouri Residents

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

Virtual Doctor Visit for Oklahoma Residents*

Includes a virtual visit with a real doctor to discuss your Medical Marijuana Patient Certification approval.

Price:

Coupon Code

Your Total

Payment information*

American Express

Discover

MasterCard

Visa

Name

This field is for validation purposes and should be left unchanged.

Patient Intake Form

Choose a State

Personal Information

Why you need Treatment

Photo Uploads

Choose Appointment Date & Time

Payment Information