Minnesota Medical Cannabis Program

Please fill out this simple form to contact us and determine you eligibility for the Minnesota medical cannabis program. Our staff will contact you via phone within one business day.

If you are eligible for the program, we will talk to you about scheduling an appointment for an evaluation with one of our providers.

* Please check one of the following conditions you are seeking treatment for:
(to qualify for Minnesota Medical Cannabis Program you must have at least one of these medical conditions.)

NOTE: Our office will contact you within one business day.

This form will not submit until all required fields are filled in.