Virtual MMJ Card Certification Event

Name: Apothecarium NJ
Price range: $

Friday, 8/20 & Saturday, 8/21

Discounted Rate:

New Patient Certification $150

Existing Patient Certification $150

EVENT HOSTED BY

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All booking slots are currently full, you can sign up for our waiting list.

Name*
First Last
Phone*
Email*
Date of Birth*
New or Renewal Certification*
Are you 60-days or less from the expiration date on your current card?*
Do you have documentation of a qualifying condition that you can email or fax to the physician?*
(example: office note, summary of visit report, prescription history or doctors recommendation)
We are not able to schedule you for our discounted certification event at this time, because you indicated that you do not have documentation proving that you have one of the 23 qualifying conditions that you can fax or email to the physician.

Our partner physicians will unfortunately not be able to see patients who cannot provide some proof of a qualifying condition.

Here are examples of documentation that are accepted as proof of a qualifying condition:

· Problem list/diagnosis list from a previous PCP or specialist visit (can be downloaded from health portals if available)

· Rx history from your pharmacy showing that you take Rx medication that would prove that you are already being treated for one of the 23 qualifying conditions

· Picture of an Rx bottle, with your name on it, that shows you are taking medication to treat one of the 23 qualifying conditions

· Any documentation from any type of doctor, specialist, or health care practitioner that would prove that you are being treated for one of the 23 qualifying conditions (chiropractor, physical therapy, mental health counselor, etc.)

· If you are a renewal patient, you can show whatever documentation you showed to the physician when you were initially certified
Have you already registered for our dispensary?*
Did you know that changing your ATC / dispensary registration is quick and easy? Once our dispensary opens you’ll be able to select our location as your go-to New Jersey medical cannabis dispensary. Click here to register
Dispensary Location Preference*
Comments or Questions

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