Putting the CARE in caregiving | Medical Marijuana Cooperative
RSS icon Email icon Home icon
  • The Variety’s Pre-Verification Process

    Save time and sign up with the pre-verifcation form below!

    Remember to bring your Original Physician’s Statement AND valid California I.D. Also, we are only accepting patients from L.A. and Orange county.

    Pre-Verification Form

    Are you from Orange County or LA County? Thank you.
     Orange County LA County

    Patient First Name (required)

    Patient Last Name (required)

    Patient Address (required)

    Patient's Email Address

    Patient's Phone Number (required)

    CA Driver's ID

    Date of Birth (required)

    Date of Statement (required)

    Doctor's Name (required)

    Doctor's Office Name (If Applicable)

    Doctor's Website (If Applicable)

    Doctor's Phone Number (required)

    Doctor's License Number (required)

    Recommendation ID

    Any additional Comments