+1 855-420-5420

Get Started!

To get started with Green MD Now, we are going to need to get a Medical Release Form from you.

 There are three options for you to get a Medical Release Form. You can go to an office near you and pick up the form, fill it out, sign it, and turn it in. You can also fill out the form below, and we would mail you the form. If you have access to a printer, you can also print the form out and bring it to one of our offices that option is below as well. We are doing this to help speed up the process on you getting your Medical marijuana card.

You may also want to obtain your Medical Records yourself, and you are more than welcome to do that, We have directions on how to obtain our records on our process page

Green MD Now logo

Request for medical Release Form

This is not a Medical release form, it is a request for us to send you the Medical Release Form. Please do not put your social or medical information on this form.  

Fill out the form as best as you can, so we can get the medical Release Form to the right person

3 + 9 =

By submitting, you acknowledge and agree to the Website Terms of Use and Privacy Policy.

Printable version of the Medical Release Form

Below is the printable version of the Medical Release Form, You can click the link, and than print. Please click the link first and bring up the form, so it will print correctly 

You can than mail the form or bring it will you to one of our many clinics around the state of Florida

Click Here for the printable version of the

Medical Release Form

Click Here to visit our process page so you will know the next steps after you turn in your 

Medical Release Form

4980 N Park Blvd, Pinellas Park FL 33781

1(855) 420-5420