Vibranthealthclinic.com

Paperwork before Appointment Vibrant Health Clinic

WEBGet links to all the paperwork which you need to complete prior to your appointment with the best medical cannabis specialty health care.

Actived: 4 days ago

URL: https://www.vibranthealthclinic.com/Helpful-Links.html

Apply online for your Colorado Medical Marijuana Registry card

WEBRevised August 2019 . Before you apply • Create an account at medicalmarijuana.colorado.gov • Make sure you have online access to your patient …

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Vibrant Health Clinic Patient Information Sheet

WEBGedde Whole Health Vibrant Health Clinic www.vibranthealthclinic.com Phone: 719-216-8367 PATIENT MEDICAL HISTORY FORM Please answer each question to the best of …

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Minor Patient Consent Form

[email protected] www.colorado.gov/cdphe/medicalmarijuana Revised March 2019 . Step 1 . All parents and legal representatives applying on behalf of minors

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This information is to include (please check one)

WEBVibrant Health Clinic 1526 S. Tejon Street Colorado Springs, Colorado 80905 719.216.8367 Fax: 719.218.9779 Medical Record Request Form Release and Authorization of Use or …

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www.vibranthealthclinic.com

WEBVibrant Health Clinic. Patient Information Sheet. Patient Name:_____Date:_____ Address:_____

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. co m P aVt i ei bnrta nIntf Horemaal tthi o Cn l iS nhi ce e t

WEBVi b r a n t H e a l th C l i n i c www. vi b ran th eal th cl i n i c. co m P h o n e: 719-216-8367 P at i ent S i gnat ure P age I am consulting with the doctors at V ibrant Health …

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Educational Resources For Medical Cannabis

WEBEducational Resources For Medical Cannabis. Leaf 411 www.Leaf411.org 1-844-LEAF411. Denver-based nonprofit organization that operates a free cannabis nurse hotline, staffed …

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Minor Patient Consent Form

WEBI hereby certify that I am the parent or legal representative of the above named minor and consent to the minor being registered with the Colorado Medical Marijuana Registry.

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Da t e o f B i rt h : La s t 4 Di gi t s o f S S N : C u rren t A ddres

WEBI request and authorize healthcare information for the patient named above from: Vibrant Health Clinic 1526 S. Tejon Street Colorado Springs, CO 80905 Email: …

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