Step 2 – Medical Marijuana Card Application

Please complete the form below
MarijuanaBreak Staff / Updated on May 22, 2017
Personal information
Additional Information

Are you a resident of the state you live in? (yes, no)

Do you have a primary care provider?

Are you currently taking any medications?

Do you have allergies from medications?

Would you be interested in an online evaluation? (yes, no)

Protected Payment

When obtaining a medical card you will not be charged until after you complete your evaluation with one of our preferred doctors. Instead, a hold for the amount will be placed on your card immediately. If you are not approved the hold will drop off of your card in 3-5 days.

Medical Marijuana Recommendation + Card
Quantity: 1
Valid for 12 months
Price: $50

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Medical Cards are in high demand.
It is estimated that 65,000 people are on waiting lists

1%

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Step 2 – Medical Marijuana Card Application
May 22, 2017
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