Request your medical marijuana card appointment by filling out the form on this page. Once we receive your information, a trusted representative will contact you to confirm your state, review your questions, and help you choose the best next step based on your needs.

We serve patients across 22 states and make the process simple and stress-free. After you submit the form, we’ll guide you through scheduling with a licensed provider, explain what to expect during your evaluation, and share any documents or details you may need before your appointment.

Disclaimer: By submitting this form, you certify that the information provided is accurate to the best of your knowledge. You understand that providing false information may result in the denial of certification. Completion of this form does not imply approval for a medical marijuana certification. Additionally, you acknowledge and accept potential communications from Marijuana Card Clinic regarding medical marijuana.