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FAQ
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Medical Marijuana Card Form
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Do You have Primary Doctor?
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Do you Qualify
cancer
Parkinson's
Huntington's
muscular dystrophy
glaucoma
spastic quadriplegia
HIV +
AIDS
hepatitis
ALS
Crohn's
ulcerative colitis
sickle-cell anemia
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agitation of dementia
PTSD
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pain refractory
diabetic/peripheral neuropathy
spinal cord disease
severe injury
cachexia or wasting syndrome
chronic pain
severe or intractable nausea
seizures
severe and persistent muscle spasms
multiple sclerosis
Do you have a qualified condition as listed on MSDOH?
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No
Do not wish to disclose
Have you experienced Marijuana before?
Yes
No
Do not wish to disclose
Describe how medical marijuana will help?
Southaven | Tupelo | Oxford | Grenada
Heather Lucas
Dr. Kelsey Reed
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