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Please complete the form below get the process started to obtain your medical marijuana card.

All fields are required. Please do not include protected health information, such as your medical diagnosis in this form. Do not use this form to submit requests for job inquiries.
Must be a valid phone number. (E.g. : 123 456 7890)
Dispensary Nearest You

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment with medical marijuana. Talk with your healthcare provider about any questions you may have regarding your marijuana use. The information and materials provided to you by PharmaCann should not be used as a substitute for the care and knowledge that your physician can provide to you. ©2019 PharmaCann. All rights reserved.

This website contains medical cannabis information and is restricted to individuals 21 years of age or older. Please confirm your age:

  • IL
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  • NY
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Did you know that most medical marijuana information is state-specific? We have dispensaries in each of the above states, along with state-specific resources for patients. For the best experience, please select a state.