Register Prior to Your First Visit

Name *
Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
Gender *
I have an MMCC Card *
The MMCC will be requiring all patients to have MMCC-issued ID cards to purchase cannabis in 2019. New patients that register after January 1, 2019 will be required to purchase their cards at registration; existing patients will be required to have their cards no later than April 1, 2019.
MMCC Patient ID Expiration Date
MMCC Patient ID Expiration Date
A doctor has recommended cannabis for me. *
This field is applicable if you are a minor or have a caregiver that helps facilitate the purchase of your medical cannabis.