Intake Form

To complete the Intake Form, please click the link below. Be as specific as you can.
Don't forget to include a copy of your valid Michigan DL. 
Click Here ----> Intake Form
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Qualifying Conditions

The State of Michigan has established a list of approved conditions to qualify for the Medical Marijuana Program. To qualify for use of medical marijuana, a patient must be suffering from one or more of the following debilitating conditions: 

  • Cancer

  • Glaucoma 

  • HIV/AIDS Positive

  • Hepatitis C

  • Nail Patella 

  • Amyotrophic Lateral Sclerosis

  • Crohn’s Disease

  • Agitation of Alzheimer’s Disease

  • Post - Traumatic Stress Disorder

  • Obsessive Compulsive Disorder

  • Arthritis

  • Rheumatoid Arthritis

  • Spinal Cord Injury

  • Colitis

  • Inflammatory Bowel Disease

  • Ulcerative Colitis

  • Parkinson’s Disease

  • Tourette’s Disease

  • Autism

  • Chronic Pain

  • Cerebral Palsy

A chronic or debilitating disease or medical condition or its treatment that produces 1 or more of the following:

 

  • Cachexia or Wasting Syndrome

  • Severe and Chronic Pain

  • Severe Nausea

  • Seizures (Including but not limited to those characteristic of epilepsy)

  • Severe and Persistent Muscle Spasms (Including but not limited to those characteristic of multiple sclerosis) 

To learn more, explore some of Michigan's Medical Marijuana Resources: 

Marijuana Regulatory Agency

Michigan Medical Marijuana Association

Planet Green Trees TV

Komorn Law 

© Proudly created by Elevation Wellness LLC

13 N Washington St 
Ypsilanti MI 48197
Phone: (734) 879-0970

wellnessdoctorsonline@gmail.com

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