Please read all forms thoroughly. All forms must be submitted, along with the appropriate fees, for your registration with Compassion Center to be complete.
All documents require Adobe Acrobat Reader. Click here to download and install the application if you do not already have it.
Registration Instructions (PDF)
This document explains the process of registering with Compassion Center and explains all associated fees.
Privacy Policy (PDF)
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Clinic Registration (PDF)
This document is the first page of the Compassion Center Clinic Registration packet.
Medical History (PDF)
This document will show the Compassion Center medical staff your medical history.
Medical Condition (PDF)
This document identifies for the Compassion Center medical staff the current medical condition(s) for which you will use/do use medical marijuana.
Medications (PDF)
This document lets the Compassion Center medical staff know which medications you are currently taking or have recently discontinued.
Release of Information (PDF)
This document gives the Compassion Center medical staff the ability to obtain your medical records from your primary care physician or specialist(s). If you see a VA doctor, please call us for a VA Release of Information.