Intake Form

Please feel free to call or email us if you have any questions.

CLICK THE LINK BELOW TO SCHEDULE YOUR ONLINE APPOINTMENT TODAY:

CLICK HERE: Intake Form

Patients with valid medical records with-in the past 12 months diagnosing 1 of 13 qualifying conditions listed below are eligible for an evaluation.

Cancer, Glaucoma, HIV, AIDS, Hepatitis C, ALS, Agitation of Alzheimer’s disease, PTSD, Cachexia or wasting syndrome, Severe nausea, Seizures/Epilepsy, Multiple Sclerosis or Severe and Chronic Pain

No need to leave the safety and comfort of your own home. Call or email today to set up your appointment for your medical marijuana card! :)

Office Number: (602)-446-1877

Email: littlegreensaz27@gmail.com