Fill out the information below to become a registered patient of Dispensary33. Please note that you must be an Illinois-approved patient with a valid QP# – this QP number is on your medical cannabis card and is 8 digits long. If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required First Dispensary Selection or Switching From Another? * I am switching from a different dispensary This is the first time I am selecting a dispensary QP# * First Name * Last Name * Date of Birth * Email Phone * Address * City * State Illinois Postal Code * Confirm that you are not a bot *