Join Us!

Please fill out this information and upload the required documents before placing your first order. To complete membership, visit our menu, place your first order and fill out further information to create an online purchasing account.
If you do not have the capabilities to fill out or upload forms we can also provide you with the required documents upon delivery of your order, HOWEVER we do need some kind of proof (i.e. phone number or website) of doctor verification before we can make the delivery.

Download and fill out each form, Patient Registraion and Membership Agreement. Below you will see the option to upload both of these forms once complete.
[wpdm_file id=1] [wpdm_file id=2]

Your Name (required)

Your Email (required)

Doctors Recommendation

CA driver’s license or Proof of Residency

Patient Registration (filled out from "Patient Registration" download above^)

Member Agreement (filled out from "Member Agreement" download above^)

Your Message

You must be 21 years old to visit this site.

Please verify your age

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