IN ORDER TO SCHEDULE AN APPOINTMENT I CERTIFY THE FOLLOWING INFORMATION IS TRUE
I have been diagnosed with one or more of the conditions approved by the State of Illinois Medical Marijuana Division. I will have the required records in my possession when I arrive at your clinic. These records include:
1. A diagnosis by my doctor(s) indicating that I have one or more of the approved conditions.
2. My doctor’s name does appear on the records.
3. I can prove that I have been treated by my doctor for one year or longer either by dates on the records or by a letter from my doctor indicating this to be true.
I Acknowledge and Agree to these Conditions
Have Questions? We've got Answers! Give Us a Call 24/7