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8 MMJ (Medical Marijuana) Forms

8 Forms Designed Specifically For Medical Marijuana Patient Management

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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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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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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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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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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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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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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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

Question Types
Text: Single row input field for entering text
Text Area: Multiple row input field for entering text
Radio Buttons: Fields that allow only one option to be selected
Check Boxes: Fields that allow one or more options to be selected
Drop Down Menu: Drop down menu that will allow only one option to be selected

Key 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

Additional Medical 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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See How Verify MC Can Help Your Medical Marijuana Clinic

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