Please read and e-sign the documents below. When you click on a step it takes a minute to bring up, please be patient it is slow.  As you complete each form and sign, if you are not directed automatically to the next step in the intake process, submit your signature and go back to list of forms and click on the next one. Once you reach the final step, the Medical Marijuana Informational Consent form, you will be directed to print and bring with you to complete at your visit.

If you have questions or problems please email Dawn or via text message at 239-777-6013

Financial Agreement Step 1
Authorization for Release of Medical Records Step 2
Patient Guide on Low THC or Medical Marijuana Step 3
Office Policies Step 4
Release of Liability 2018 Step 5
Medical Marijuana (Informational- Arrive 5 min early so you can fill out in the office) Step 6
Medical Intake Form PDF- Open, Fill Out and Print (if you can not print we will have in the office) Step 7