Welcome to The Online Medical Card ( MMJ ) Certification System for California Residents

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This recommendation is for California patients only. If you need a recommendation for another state, please visit OnlineMedicalCard.com and select "Other States" in the top menu. Doctors are licensed by individual states only. If you choose the wrong state you will not be issued a refund.

QUALIFYING CONDITIONS
Please indicate if you have had any of the following symptoms consistently
UPLOAD DRIVER'S LIC. OR STATE ID *

In order to verify your legal name and identity, you must upload a government-issued photo ID card such as a driver's license or passport.

PATIENT'S SIGNATURE

By electronically signing this document, you declare that the information on this form is true and correct.

Additionally, you are also aware that your recommendation may be revoked at any time if you misrepresented yourself on this form.

Note: Filling out this questionnaire does not guarantee a medical marijuana recommendation.

I give my consent to telemedicine.

(Telehealth means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient's health care.)

I declare the following to be true:

  • I am over the age of 18
  • I am a California resident
  • I don't have schizophrenia and I don't have hallucinations
  • (For females only) I am not pregnant
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Use your mouse, finger or stylus to add your signature.

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