uConnect Medical UHW Doctor

Intake forms

Renewing Returning Patients

If you are an existing patient of this office please click on the button below and fill out the 3 min form. 

Returning Patient Form

New Patient Forms

If you are a new patient of this office please click on the button below and fill out the  5 min form. ID upload is required all can be done on smartphone.

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Limits Exemption Form

Please fill out the renewing patient or new patient form first. This Limits form is for patients that require more cultivating options for salves, oils, tinctures, edibles, etc.. Doctor requires patients to fill out for limits requests.

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