Applicants over 18 Years of Age

Patients Already Registered at Dispensary 33

Applicants who are Minors

Minor Application

Fingerprint Consent Form (for the parent/guardian/caregiver)

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