Start with your name and mobile number. It takes about 10 minutes in total, and you can come back to finish.
About you
Use your legal name, as it appears on your ID.
Your doctor's office may call or text you about your visit.
Your doctor files a photo of your driver's license or state ID with your state's medical cannabis program. Place the card on a dark, flat surface in good light.
Front of your card
The side with your photo.
Back of your card
The side with the barcode. We read it to fill in your details.
Your doctor and your state's medical cannabis program use these details. If we read your ID, check that everything matches it exactly.
About you
As printed on your driver's license or ID.
MM/DD/YYYY
The number marked DLN on your card.
As shown on your ID.
Your home address
Use the address where you live. Start typing your street and choose your address from the list.
Usually the county you live in.
How we reach you
Your visit link, reminders and receipt are sent here.
Your condition
Choose the qualifying condition your doctor will review with you.
An approximate date is fine.
Questions from the state registry
Your state asks every patient these questions. Your answers don't affect whether you qualify.
Who will hold the card?
A caregiver can pick up and give medicine for a patient who can't do it themselves.
Sign your application
Sign with your finger or mouse, or type your full name, to confirm that everything above is true.
Sign here
Your typed name is placed in the signature box and counts as your signature.
Check that everything is correct. Your doctor files these details with the state, so they must match your ID.
About you
Address and contact
Address
GA
Lived in your state
Less than 1 year
Condition
Condition
Amyotrophic lateral sclerosis
Caregiver
Card holder
The patient (no separate caregiver)
Your ID
Next you'll choose a time for your video visit, then pay $69 to confirm it.