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Clinics, Physicians and Patients
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10 Forms + Custom Form Designer For Patient Intake

8 forms designed specifically for medical marijuana patient management
All online MMJ forms automatically create an e-Signed PDF

8 MMJ (Medical Marijuana) Forms

MMJ Patient Intake, MMJ Dosage, MMJ Consent, MMJ Smokable Consent, MMJ Marijuana/CBD Usage Feedback, and MMJ Patient Feedback can be completed by the physician/staff, emailed to patient or SMS texted to patient

MMJ
Patient Intake

This customizable form is designed for a new medical marijuana patient and automatically creates a “pending” patient in the software

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MMJ
Patient Consent

The medical marijuana consent form requires a patient to review and initial 20+ paragraphs regarding medical marijuana laws and information

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MMJ
Smokable Flower Consent

The medical marijuana consent form requires a patient to review and initial over 20 paragraphs related to smokable flower consent

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MMJ
Patient Sign Off

This form enable the physician to officially sign off a patient for medical marijuana and includes date/time stamp. notes, attachments and signature

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MMJ
Patient Clinical Visit

This form is designed for follow up visits with an existing medical marijuana patient and includes state based qualifying conditions

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MMJ
Recommended Dosage

The recommended dosage form is designed for the physician to recommend a patient’s medical marijuana dosage quantity, frequency and delivery method

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MMJ
Marijuana/CBD Usage Feedback

This form documents the patient’s usage of medical marijuana including quantity, frequency, side effects and efficacy

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MMJ
Patient Feedback

This form can be sent or automatically sent after the patient is approved to request feedback of their experience

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Create Custom Questions on Your Patient Intake Form

Set the number of columns the text should be broken into. IMPORTANT: This feature is designed to be used for running text, images, dropcaps and other inline content.

Additional Forms

Clinical Visits

Document the patient’s chief complaint, past medical history, surgical history, allergies, current medications, vitals, qualifying conditions and more

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Physical Exams

Document the patient’s vitals, general appearance, HEENT, neck, cardiovascular, musculoskeletal, neurological, extremities/skin and more

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Additional Features

Patient Questionnaire Forms Show Your State’s Medical Marijuana Qualifying Conditions

  • All patient intake forms have a medical marijuana qualifying conditions
  • Qualifying conditions automatically added for your state

Automatic PDF Generation for All Digital Forms

  • All forms automatically generate a PDF
  • PDF’s are posted into the patient’s file section

Send Mobile Optimized Patient Forms by Email and SMS

  • Patient questionnaire
  • Medical marijuana consent

  • Patient follow up
  • Patient feedback

See How Verify MC Can Help Your Medical Marijuana Clinic

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