If you are under 18 years of age you must have your parent fill out the form
 
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
Mailing Address
 
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