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Medical Marijuana Card
Quiz for Medical Marijuana Card
Step
1
of
23
4%
Tell us about your medical marijuana experience?
I am brand new to medical marijuana
I am a current medical marijuana patient of yours needing to renew
I am transferring from another medical marijuana doctor needing to renew
Other
Please tell us what other type of experience you have with Medical Marijuana.
What state do you live in?
Select State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Just to be sure, you are a current patient of Cannabis Card?
Yes
No
Let’s set you up with a free account.
May I have your, Name
First
May I have your, Phone
May I have your, Email
May I have your, Birthdate
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May I have your, Zip Code
Is your previous medical marijuana card from the same state that you current live?
Yes
No
What medical condition are you seeking treatment for?
ADHD/ADD
ALS
Anxiety
Amyotrophic Lateral Sclerosis (ALS)
Arthritis/Join Pain
Autism
Back Pain/Herniated Disc
Cancer
Chronic Abdominal Pain
Chronic Back Pain/Herniated Disc
Chronic Pain
Crohn’s disease
Depression
Diabetes Type 2
Diabetic Neuropathy
Diverticulitis
Epilepsy
Fibromyalgia
Glaucoma
Hepatitis C
HIV/AIDS
Insomnia
Irritable Bowel Syndrome (IBS)
Lupus
Lyme Disease
Migraines
MS (Multiple Sclerosis)
Muscular Dystrophy
Opioid Addiction
Osteoarthritis
Parkinson's Disease
PTSD
Radiculopathy
Rheumatoid Arthritis
Seizures
Sleeping Disorder
Stress
Other
Do you have current medical records showing your diagnosis?
Yes
No
I’m not sure
Have you ever had a state medical marijuana license suspended or revoked in the past five years?
Aside from getting your card, are there any other areas of your health you would like to improve?
Weight Loss
Hair regrowth
Third Choice
Better Sex
Testosterone support
Mental Health Therapy
Mental health medication
Sleep
Pain
None of these
We do offer bundle discounts if you see any other products that you would like, just let one of our advisors know!
It is very nice to meet you, let's go through some questions to see how best medical marijuana can help you out. First, what State do you live in?
Can you tell us your experience, if any, with marijuana in the past?
I am a frequent user
I did a lot when I was younger
I have experienced it a few times
I have never tried it
Excellent, and that's is how we stand out. No matter what your experience is, our advisors will be here to help you out 6 days a week. When you call us, you will get a live person on the phone! Yay!
If approved for your Medical Marijuana License, you could get up to 350 mg THC per day of Vape, Edibles, Orals, Topicals, etc. Plus, you could get up to 2.5 ounces of Flower every 35 Days. (Include pictures) Would you like to see what you could qualify for? Submit info to find out:
Name
First
Email
Phone
Birthdate
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Ok got it, let’s continue. Does your state driver's license match the address you are currently living in?
Yes
No
Please let the advisor know at the time of your appointment.
What medical condition are you seeking treatment for?
ADHD/ADD
ALS
Anxiety
Amyotrophic Lateral Sclerosis (ALS)
Arthritis/Join Pain
Autism
Back Pain/Herniated Disc
Cancer
Chronic Abdominal Pain
Chronic Back Pain/Herniated Disc
Chronic Pain
Crohn’s disease
Depression
Diabetes Type 2
Diabetic Neuropathy
Diverticulitis
Epilepsy
Fibromyalgia
Glaucoma
Hepatitis C
HIV/AIDS
Insomnia
Irritable Bowel Syndrome (IBS)
Lupus
Lyme Disease
Migraines
MS (Multiple Sclerosis)
Muscular Dystrophy
Opioid Addiction
Osteoarthritis
Parkinson's Disease
PTSD
Radiculopathy
Rheumatoid Arthritis
Seizures
Sleeping Disorder
Stress
Other
Do you have access to your medical records showing this medical condition?
Yes
No
Have you ever been treated by another doctor or diagnosed with this condition?
Yes
No
Ok no problem. Just tell your advisor at the time of your appointment and they will go over the procedure.
A medical marijuana doctor cannot substitute being your primary care or only method of care for your condition.
Cannabis Card does not provide primary care services.
You may be required to show previous medical records of your medical condition.
By continuing, you agree to be evaluated yearly or when recommended by your primary care provider.
If you are female, are you pregnant or breastfeeding?
Yes
No
Not female
Thank you for all your information. An advisor will be getting back to your shortly to go over your options. Are you currently taking any of the following:
Adderall
Wellbutrin
Lexapro
Celexa
Zoloft
Cymbalta
Prozac
Lithium
Other
None
Please list the current medications you are on.
Have you ever been diagnosed with schizophrenia?
Yes
No
Thank you for all your information. An advisor will be getting back to your shortly to go over your options.
While cannabis will not necessarily cure the condition you have, it will do incredible job taking care of many of the similar symptoms all the different medical conditions have. Cannabis is Best For
Easing your mind
Helping with Pain
Easing Nausea
Relax for deep sleep
Restore Focus
Retore Energy
Could you benefit by adding that to your life?
Yes
No
Aside from qualifying for your medical card, are there any other areas of your health you would like to improve?
Weight Loss
Hair regrowth
Better Sex
Testosterone support
Mental Health Therapy
Mental health medication
Sleep
Pain
None of these
We do offer bundle discounts if you see any other products that you would like, just let one of our advisors know! Click Continue to See if you qualify!
Congrats, based on the information you have provided you will qualify for a medical marijuana card.
