If you are an existing patient of this office please click on the button below and fill out the 3 min form.
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.
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.
Copyright © 2018 uConnect Medical Solutions, Inc. - All Rights Reserved.