Recreational & Medical Patient Form

Verified Customer Registration Form for Medical & Recreational Cannabis Consumers.
State Notice: Office Of Cannabis Management

Due to the new state regulation on dispensaries all customer who purchase cannabis from any dispensary are required to pay a refundable registration fee. This fee is required to confirm if you are the owner of the state ID or Drivers License which you provide during the Registration process. the fee is refundable upon delivery in cash by the delivery agent in charge of your package.

HIPAA Compliant

Registration MMC is HIPAA compliant and uses’s powerful HIPAA, HI-TRUST solution, learn more at

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Our cloud based solution can be accessed at anytime by any device and is easy to use for both clinicians and patients


Registration MMC has a BAA backed by one of the leading HIPAA compliant hosting and security companies,