Schedule Appointment for PTSD Psychiatrist Marijuana Doctor


If you are under 18 years of age you must have your parent fill out the form under their name
If more than one medical condition applies then select the medical condition that you are most interested in receiving cannabis treatment for. Additonal medical conditions may be added at a later time.
Physical Address
You must have a New Mexico address to enroll in the Medical Cannabis Program
 
You must have a New Mexico address
 
Type and select county
Contact Info

You must enter at least one phone number below.

Check the box above if you would like to receive text message updates to your phone about coupons and specials from dispensaries
Questionnaire