(Colorado) Medical Marijuana Patient Intake Form

Form Template

The (Colorado) Medical Marijuana Patient Intake Form mobile app offers a simple way to gather patient details about medical marijuana patients the first time they see a new physician, or enter a medical marijuana program for a medical condition.

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The cannabis patient app was designed for physicians and medical marijuana dispensaries in Colorado, but it can be customized for other states as well.

With the cannabis patient app, physicians can track all important patient details before prescribing medical marijuana for a physical or mental condition. All information can be made HIPPA compliant according to your state's medical laws, and records can be transferred to a medical marijuana dispensary or other medical office seamlessly. Physicians that specialize in medicinal marijuana for various medical conditions, clinics that register new patients for medical marijuana cards and medical marijuana dispensaries can access the app from any location using a smartphone or tablet.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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Dave Kramer, PennLine Service

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