New Patients

If you are a new patient and would like to get verified please complete our quick and easy online verification form. Please attach your CA ID. If you have a Physician Recommendation/Medical Card please attach as well. You will be notified as soon as we have verified your information.

If you do not have a medical ID card, click HERE to obtain one.

Verification Form

Your Name*
Your Email*
Your Delivery Address*
Your Delivery City*
Zip*
Your Phone*
Enter verification website url*
Enter verification phone*
Your recommendation #*
Rec expiration date*
Date Format: MM slash DD slash YYYY
*
- I agree to your terms & conditions
Recommendation (limit file size 10mb)*
Driver's License (limit file size 10mb)*

You can also call us at 661-349-9028

Sunday:	10:00AM – 4:00PM
Monday:	10:00AM – 9:00PM
Tuesday:	10:00AM – 9:00PM
Wednesday:	10:00AM – 9:00PM
Thursday:	10:00AM – 9:00PM
Friday:	10:00AM – 9:00PM
Saturday:	10:00AM – 9:00PM

Verification Form

Please verify your age