Dispensary Pre-Registration

We know how you hate the wait and hassle that occurs in a traditional doctor's office, so we have simplified our intake process.

For online savvy patients, prior to your first visit, complete our Dispensary Pre-Registration form .It will expedite the dispensary intake process. When you enter your patient data below it’s goes right into the dispensary’s secure data system. When you arrive at the dispensary, we can usher you in quickly.

No worries if you are not digitally oriented. Come visit us and we will whiz you through the process.

Birth Date *
MMCC ID Card Expiration Date *
Address *
Phone Number
Provider Address
Use this area to provide any additional information you would like.