SWITCH YOUR DISPENSARY
CHANGE OF DISPENSARY FORM
If you need help changing to one of our dispensaries, please fill out the form below and include your Full Name, Email Address, Date of Birth, Patient Registry Identification Number, Phone Number, Address, City, State & Zip code, and Desired Dispensary Location. We will happily submit the paperwork to the state on your behalf. Please note it takes 24 – 48 hours for the State’s system to update once we submit the form.