To have medical marijuana delivered to your home or office you must be a qualified patient and a member of our Co-op. To become a member, simply give us the requested information below and once your doctor's approval has been validated we'll send you a password that you'll be able to change.
E-mail
Doctor’s name
First Name
Dr phone #
Last Name
patient
care giver
Phone
Patient Number
Address
CA Driver’s lic. #
City
State
Zip Code
Comments or Questions
We will not sell, give or otherwise share any information supplied herein to any third party. It is for internal use only related to providing you our services.