Start your application

About five minutes. You're only charged after a licensed physician approves your recommendation.

First name

Last name

Create a portal password (optional)

Set a password to track your evaluation status, appointment, and receipts in your patient portal. Skip it and we'll email you updates instead.

Phone

State of residence

Last 5 digits of SSN

Required by Texas for the state registry.

Current weight (lbs)

Texas pricing

Quick Medical Cards evaluation$130
Texas state registry fee$0

You are not charged our $130 fee unless a licensed physician approves you. Texas has no patient registration fee. Your prescribing physician enters you into the Compassionate Use Registry (CURT) after approval.

Street address

Apartment, suite, unit (optional)

City

ZIP code

Driver's license photos

Upload a clear photo of both sides. JPG, PNG, WEBP, HEIC, or PDF, up to 10 MB each.

Front of license

Back of license

Date of birth

Condition(s) you'd like evaluated

Schedule your video evaluation

Appointments run every 15 minutes between 9:00 AM and 9:00 PM Eastern time. Visits happen in our secure doxy.me waiting room at doxy.me/quickmedicalcards.

Appointment date

Medical history

Please answer every question. Your responses are shared only with your evaluating physician.

Are you currently under the care of a physician?

Have you ever been hospitalized?

Have you been evaluated for the use of medical marijuana by any other physician in the past?

Have you been evaluated and denied a medical marijuana recommendation?

Are you currently attending or have you attended any drug/substance abuse or rehabilitation program?

Have you ever been treated for symptoms of depression, psychosis, attempted suicide or had any other mental health issues?

Have you ever been prescribed medication for any mental health problem?

Do you currently see a mental health physician?

Anything else your physician should know?

Consent acknowledgments

You must check all four boxes before submitting your application.

I have read and understand the following: The use of medical marijuana that contains THC may affect coordination, motor skills and cognition in ways that could impair the ability to drive or use heavy machinery. I will not use benzodiazepines and cannabis together because it can cause difficulty breathing. I will inform all other treating providers of the use of medical marijuana, because some medications will interact with cannabis.Cannabis products may pose health and safety risks. Effects vary widely based on dose, method of use, individual tolerance, and underlying medical conditions. Potential risks include impaired judgment and coordination, dependency, cognitive changes, anxiety, and adverse reactions—especially with high‑potency products. Cannabis can interact with medications and may worsen certain medical or psychiatric conditions. I will not operate vehicles or machinery while under the influence. I understand that individuals who are pregnant, breastfeeding, or under the legal age should avoid use, and I will always consult a qualified healthcare professional before using cannabis for medical purposes and use responsibly and in accordance with local laws and regulations.The prescribing clinician has provided information regarding the potential risks, benefits, and alternatives to cannabis use. By choosing to use cannabis, I acknowledge that all medical treatments carry inherent risks and that individual responses may vary. The clinician is not responsible for any adverse effects, complications, or outcomes related to cannabis use, including but not limited to cognitive impairment, psychiatric symptoms, dependency, medication interactions, or impairment affecting driving or operation of machinery. I agree to use cannabis only as permitted by applicable laws and regulations and accept full responsibility for monitoring my own response, seeking medical attention when needed, and discontinuing use if adverse effects occur. Nothing in this recommendation constitutes a guarantee of therapeutic benefit. The prescribing clinician is absolved of liability for any harm arising from my use or misuse of cannabis.I have read and agree to the terms and conditions.

By submitting you consent to be contacted about your evaluation. Your information is kept private.