Visits are performed via telemedicine/telephone with us.
FOR A MOBILE FRIENDLY VERSION OF THIS WEBSITE PLEASE CLICK ON THE BUTTON BELOW
For patients seeking their INITIAL Pennsylvania Medical Marijuana Card, you will need to complete BOTH Step 1 and Step 2 below. For recertification of a Pennsylvania Medical Marijuana Card, click on this "RECERTIFICATION TAB". The Fees are listed below, which is separate from the state card fee.
You MUST Complete BOTH Step 1 and Step 2 below before we will call to schedule your consultation/certification.
STEP 1: Complete secure PATIENT INTAKE REGISTRATION FORM (by clicking the box below)
STEP 2: Register your PA Drive License/PA State ID with the Dept of Health Medical MJ Program (by clicking the box below)
Once we receive notification that you have completed the Patient Intake Form and are registered with the PA Dept of Health, we will reach out for the scheduling process.
FEES (due to Dr Sam at time of certification call)
1. Initial Certification - $149 debit/credit
2. Recertification (new or returning patients) - $99 debit/credit
After you pay Dr Sam for the consultation, you will then need to pay the state a separate fee for them to print/mail the ID card. Please visit "FEES" heading on this website for more information.
1. Initial Certification - $149 debit/credit
2. Recertification (new or returning patients) - $99 debit/credit
After you pay Dr Sam for the consultation, you will then need to pay the state a separate fee for them to print/mail the ID card. Please visit "FEES" heading on this website for more information.
FURTHER EXPLANATION OF THE REQUIRED STEPS
STEP 1: FILL OUT A PATIENT MEDICAL HISTORY INTAKE FORM
The black button below takes you to a HIPPA secure form where you must enter your medical information (past medical history, medications that you take, family history, etc). When you click SUBMIT it is transmitted to us securely. Once we have this information we can begin to prepare a file for you. THIS IS THE MOST IMPORTANT STEP HERE. We do create an electronic medical record with this information as required by law. Your intake form will be saved in this chart. This gives Dr Sam a chance to become more familiar with your medical history before he conducts the consultation with you. It is important to list medications that you are on so Dr. Sam can check for any possible interactions.
STEP 2: REGISTRATION WITH DEPARTMENT OF HEALTH
Here is an example of what the registration screen looks like. You MUST enter the address, city and state listed on your current PA State ID. If you have a change of address form (yellow and white card) given to you by PennDot, you MUST use that address. The Department of Health pulls your photo from PennDot to use on your Medical MJ Patient Card. You will be given a 6 digit patient number which you will want to write down and keep in a safe place. You will have to create a username and password to log into this account. If there are issues with registration, you will want to contact the PA Department of Health Medical Marijuana program by calling 888-733-5535. They can assist you with any difficulty in registering your PA driver's license or PA state ID card.
