There are a few documents that you will need to complete prior to your appointment with The Marijuana Doctor. Paperwork will be provided for you when you arrive for your appointment, but if you would like to save some time, fill out and print the documents below

Save $5 off your total visit by submitting your paperwork digitally!

 

Download the applicable PDF's below and fill them out on your computer, then E-Mail them to:

The Marijuana Doctor at phoenix@azmmjdr.com

 
 

 

Medical Intake Form

Save yourself and the doctors some time by printing out the necessary documents and filling them out prior to coming in for your appointment. In order to become a patient, you will need to complete the Medical Intake Form. This is a requirement for all patients of The Marijuana Doctor. Download and fill out this paperwork prior to your appointment to save some time.

Medical Intake Form PDF


Pain Specialist Intake Form

If you do not have any current doctor records that are dated within the last 12 months, you will need to see our Pain Specialist before speaking to The Marijuana Doctor. This is a requirement for all patients who are seeing the Pain Specialist. Download and fill out this paperwork to be ready to go when you arrive for your appointment.

Pain Specialist Intake Form PDF


Medical Release Form

If you already have records from your doctor, you are one step ahead of the game! Download this document and fill it out to release your current paperwork to our medical office for The Marijuana Doctor to review. What types of records do I need?

Medical Release Form PDF

 
GreenPharmsArizona_JIGGA-COOKIE_1_2018.png
 
 

If you choose to fill out your forms electronically and E-Mail them in, please call our office to confirm that we have received them prior to coming in for your appointment

 
 

Phone Number: 

Tempe: (480) 966-6537

Bethany: (602) 603-2884

Camelback: (602) 277-6537

Mobile Clinics