To Pre-Verify medical marijuana recommendations with Emerald Perspectives,
certified medical marijuana patients must completely and accurately fill out the form below.
Please have your recommendation and driver's license available to upload (ie: take a photo, scan it in, etc).
BE SURE TO HIT BOTH SUBMIT BUTTONS!!! THE BOTTOM ONE ONLY SUBMITS THE AGREEMENT, BE SURE TO SUBMIT ID/REC TOO!!!
*please read the patient member terms & conditions below
*fill out the date & name sections
*click on the button to agree to the terms & conditions
Did you click the first submit button? Scroll up to check; if your info is still there, click "submit"
**you may also print out the Patient Member Terms & Conditions, sign them, and hand them in with your order.