Show My IP
| resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

SD MediCal Verification

 Welcome To SDMediCal Clones, Meds, &, WholeSale Collective Services

SD MediCal Verification Form's

For Complete Verification E-Mail Us A Scanned/Picture Of Your Recomendation and CA ID

Please Dial *82 To Unblock Restricted Numbers.

Verify And You Will Have Access to the Menu.

Patient Information
(first, middle, last name)










( )
-
( )
-
Doctor Information Verfication
Example: Medicann, Acc, Marijuana Medicine Evaluation Centers, Inland Empire Cannabis Consultants



( )
-





Informant:

















CareGiver Farmer
(first, middle, last name)
( )
-

Baisc Donations

NOTICE TO LAW ENFORCEMEMT:  Pursuant  to  the Constitution  of  the  State  of  California,   Amendment

III, Section 3.5(c),  state   enforcement   officials   have

“no power… to refuse to enforce astatute on the basis  that federal law or federal regulations prohibit the  enforcement  of  such  stature.” It  is therefore your legal  duty and responsibility to respect and obey this agreement per the above cited legislation,and to leave the individuals herein described unmolested and unreported to federal authorities. Failure  to follow state law may result in legal action being taken against you.       Thank     you    for     your

understanding  and  compliance.

 

Need assistance with this form?

 
Make a Free Website with Yola.