HOME ABOUT US PRE-VERIFY CLONES SEEDS CONTACT US

Pre-Verification Form
Call Us:  (858) 740-1369
Have your patient status verified and together we'll grow far!
Discretion is important and we process all patient information securely using Health Insurance Portability and Accountability Act (HIPAA) guidelines. Our representatives have found this step to be the most confusing to new patients; it shouldn't. Anyone licensed to cultivate cannabis is issued an Arizona Medical Marijuana Program ID card, which is formal consent allowing Arizona patients to legally possess and cultivate medical marijuana. Every card issued has a 20 digit identification number and expiration date and this information is required to order marijuana plants.

We thank you in advance for your patience, an Arizona Strainbank representative will contact you shortly.

Full Name:



Cell Phone:

Confirm Cell Phone:



Home Phone:



E-mail:

Confirm E-mail:



Patient ID No:
DOB (**/**/19**):
Drivers License No:



City:
Zip Code:


I'm interest in...
Clones
Pre-Teens
Seeds

I have read and understand the following:
Membership Agreement
Exchange Policy

Any questions?  We've got answers.





San Diego Clones   |   Make Payment   |   Exchange Policy   |   Membership Agreement

The Arizona Strainbank - Est. 2009