PATIENT Forms

Medical Records Release Form

If you would like us to request your medical records for you.

Medical Records Release for Homegrown

If you would like to request your records from your appointment with Homegrown.

HIPAA Notice of Privacy 

Because our office observes all state and federal HIPAA laws.

Personal Production License Application

If you are an active cardholder and want to grow your own plants

Caregiver Application

If you would like to assign a caregiver

Medical Cannabis Program Fact Sheet

From the Dept of Health's website

New Patient Health Intake 

If you are applying for your card for the first time and have an appointment with us.

If you do not have an appointment with us, please call or email us to set one up.

Renewing Patient Health Intake

If you are renewing your card and have an appointment with us.

If you do not have an appointment with us, please call or email us to set one up.

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