CannaSense

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Personal Information

First Name, Last Name*

First Last

Email Address, Confirm Email Address*

Enter Email Confirm Email

Home Address*

Address Line 1 Address Line 2 City State Zip Country

Membership Application

Create a username to log-in to your account.*

Do not enter an email address. You may enter letters and numbers. When your account is approved, you will be issued a TEMPORARY password.

Phone Number*

Who sponsored you into CannaSense? (Optional)

Enter your sponsor’s first and last name OR their sponsor number.

How did you hear about CannaSense?

Please let us know how you heard about our program.

This field is hidden when viewing the form

If the above information is pre-filled and INCORRECT, please enter your sponsor's first and last name OR their sponsor number.

Are you 18 years of age or older? Recreational users must be at least 21 years old.*

Yes

If you are under 21 years old, a DOCTOR’S RECOMMENDATION or STATE MEDICAL ID is required.

The Doctor’s visit is with an independant organization, with no ties to the CannaSense Total Wellness Collective. You must pay for the Doctor’s services separately.

You may get your California Recommendation using any provider. For a list of providers, click here.

What part of CannaSense are you interested in?*

Recreational Account

Patient Account

Please read the CannaSense Total Wellness Membership Agreement. (Opens in new tab)

Please read the CannaSense Total Wellness Guidelines and Standards.

Do you agree to the terms of the CannaSense Total Wellness Membership Agreement?*

Yes

Please enter your first and last name as your electronic signature for entering into the CannaSense Total Wellness Membership Agreement.

First Name, Last Name*

First Last

Proof of Eligibility

REQUIRED: Upload your government issued photo ID. This is required to validate your account.*

Drop files here or

Max. file size: 64 MB.

You may upload any government issued ID, such as a driver’s license or passport. The file size CANNOT exceed 64MB.

UPLOAD YOUR DOCTOR RECOMMENDATION BELOW

Max. file size: 65 MB.

(NOTE: DO NOT SUBMIT THIS FORM WITHOUT YOUR RECOMMENDATION IF YOU ARE GOING TO BE A PATIENT/MEMBER. Detailed Instructions Can Be Found on the Become a Member Page.

The Doctor’s visit is with an independant organization, with no ties to the CannaSense Total Wellness Collective. You must pay for the Doctor’s services separately.

You may get your California Recommendation using any provider. For a list of providers, click here.