Prequalify for the AZ Medical Marijuana Program

If the following apply to you, please continue with the form and submit:

1. Must be 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. Not currently PREGNANT or diagnosed with SCHIZOPHRENIA.

** Notice: If you fill in incorrect or misleading information you acknowledge that your attempt to obtain a marijuana recommendation is fraudulent and are in no way eligible to receive a chargeback or compensation.