Previsit Checklist

PRIOR TO YOUR VISIT PLEASE HAVE THE FOLLOWING AVAILABLE:

  • Current New York Identification (ID)
  • New York State Proof of Residence
  • Fill out a medical release OR have proof of diagnosis via copies of radiology or physician records
  • Records are reviewed to access eligibility for medical marijuana and treatment plan

Documents that show proof of a qualify condition:

  • Chronic Pain
  • Arthritis
  • Cancer
  • PTSD
  • Post-Shingles Pain
  • Diabetic Neuropathy
  • Intractable Headaches
  • Epilepsy/Seizures
  • HIV/AIDS
  • Amyotrophic Lateral Sclerosis (ALS)
  • Parkinson’s Disease
  • Multiple Sclerosis (MS)
  • Spinal Cord Injury with Spasticity
  • Epilepsy
  • Inflammatory Bowel Disease
  • Crohn’s Disease
  • Ulcerative Colitis
  • Huntington ’s disease
  • Neuropathy/Radiculopathy (nerve pain)

The qualifying conditions listed must also be accompanied by one or more of the following conditions:

  • Cachexia (wasting, weight loss)
  • Severe pain
  • Severe nausea
  • Seizures
  • Persistent muscle spasms.