Mon, Wed: 10a - 3p    Tu,Th: 2p - 7p    Fri, Sa, Su: 10a - 7p   |   5001 N. Clark Street, Chicago, IL 60640   |   (312) 620-3333
Dispensary 33
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Dispensary 33

Forms

Applicants over 18 Years of Age

Patient Application

Caregiver Form

Physician Certification

Physician’s Waiver to Exceed 2.5oz Allotment

Terminal Illness Application Form

 

Patients Already Registered at Dispensary 33

New Patient Paperwork

New Caregiver Paperwork

Cannabis Card Change of Information Form

Stolen or Lost Card Replacement Form

 

Applicants who are Minors

Minor Application

Physician Certification

Reviewing Condition Form (for the 2nd physician)

Caregiver Consent for Minor (if caregiver is not the parent/guardian)

 

Applicants whose Conditions Do Not Qualify

Add a Condition Form

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Chicago Medical Cannabis & Medical Marijuana Dispensary

Hours

Mon 10a – 3p
Tues 2p – 7p
Wed – Sun 10a – 7p

Contact Us

Dispensary 33

5001 N Clark St  

Chicago, IL 60640

(312) 620 – 3333
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Dispensary 33

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