top of page
Stethoscope on the Cardiogram

Cannabis Evaluation Intake Forms

Appointment Details And Intake Forms

What's Next?

Please note that all appointments are being conducted virtually at this time. We do not offer in-office visits.

What To Expect During The Appointment

Each virtual platform is different. Here are some tips to make your visit go smoothly:
• Test your webcam and microphone before your appointment.
• Secure a quiet place in your home for your appointment.
• Write down any questions and have handy for your visit.
• Complete your Patient Intake Form - please have the electronic form completed before your appointment.  


Other Requirements

You are also required to provide the following information as part of your appointment:
  • Virginia Drivers license or ID
  • Physical Medical Records Documenting the Health Condition(s) for which you are being evaluated; 
  • Patient Intake Form - please have it completed before your appointment.
  • Complete the intake form for a follow up evaluation; medical records may not be applicable unless new conditions have been diagnosed. 
After you book the appointment, you will be contacted by the office to confirm your appointment and complete other forms, if needed.     
bottom of page