urgent care

SCHEDULE AN APPOINTMENT

If you are a first time patient, or returning to Green Health please fill out this form to schedule an appointment. We will contact you right away.

    Name *:

    Last Name:

    D.O.B.:

    Phone:

    Email:

    Required Service:

    Conditions/Complaints:

    Check the box if you have been seen by Doctor for this condition in the last 3 years


    *  These fields are required.

    With the passage of Amendment 2, many conditions will now qualify for Medical Marijuana. Complete our application to prepare for an appointment. We will walk you through the steps needed to establish care and be seen by one of our physicians.