Complete this form to find out if you qualify for a medical marijuana card in Jacksonville today!
Disclaimer: You certify that the information provided is correct to the best of your knowledge and understand that to falsify information is grounds for denial of certification. Completing this form in no way constitutes approval of a medical marijuana certification. You further acknowledge acceptance of a solicitation from Affordable Marijuana License in regards to medical marijuana.
After you complete the form on this page, a patient care specialist will confirm your appointment with one of our qualifying physicians. If our physician determines you qualify, they will enter you into the Medical Marijuana Use Registry, so the Florida Department of Health can issue you a certification. Once you receive your state-issued certification, you are free to visit a local dispensary. Still have questions? Give us a call at (904) 586-0041.