Medical Card Pre-Qualification Form

If you are unsure about whether or not you will qualify for a medical marijuana card, please complete the following. Only proceed if:

1. You are able to show Arizona residency by providing a copy of one of the following: Arizona driver’s license, Arizona state issued identification card, Arizona registry identification card, or photograph page in your current US passport.

2. You are not currently pregnant or have not been diagnosed with schizophrenia.

Once you submit your pre-qualification form, you will receive an instant response with our decision below.

Patient Information