Patient Forms

Please find various patient resources below.

Requesting an Appointment

You can request an appointment at any of our locations by clicking here or by calling our office at 727-202-4325 or 727-861-1000.

Answers to Common Questions

Common information and questions about medical marijuana in the state of Florida can be found on our FAQ page.

Cancellation Policy

Find our office cancellation policy to ensure fairness to all of our patients. Due to this, we have a cancellation policy in place that all patients should be aware of. Cancellation Policy

Compassionate Use Registry Identification Card Application

To apply for your State of Florida Medical Cannabis card AFTER completing any necessary appointments with us, please download, complete, and mail the following official Office of Compassionate Use form to the address located within: Compassionate Use Registry Identification Card Application

Compassionate Use Registry Identification Card Application Instructions for Legal Representatives

Additionally, some patients may need to submit the legal representative paperwork (i.e. parents, legal guardian, etc). Please print, complete, and mail this form to the address located therein:
Legal Representative Form

Advanced Beneficiary Notice of Noncoverage Form (ABN)

Medicare does not always cover all treatments, which is out of our control. We ask that our patients read over this form and sign it to better understand their options. Advanced Beneficiary Notice of Noncoverage form

Office of Compassionate Use – Patient Guide

A user guide for patients using the compassionate use registry. The guide explains how to log in, change your password, how to access your profile, track your orders, and your medical marijuana card status. Office of Compassionate Use_PATIENT Guide