Book your Initial Consultation
Please fill out the information below. Once submitted you will be taken to the next screen where you will be able to select your preferred date and time of your appointment.
To be eligible for medical cannabis treatment, we will need to verify that you qualify for the CUP program through the State of Texas. Please fill out the following screening questions as accurate as you can so that we can verify and/or qualify you for eligibility.
If you have medical records that you can share with the physician that will qualify you for the CUP program you may attach them at the end of the screening.
If you are currently being seen by a physician or psychiatrist please list their name and telephone number so that we can provide the best continuity of care.
In order to be eligible for medical cannabis treatment, we need to check that you have tried other courses of medication previously. Please answer the following screening questions.[gravityform id=”1″ title=”false” description=”false” ajax=”true”]