NEW YORK MEDICAL MARIJUANA DOCTOR ONLINE APPLICATION.

Please read carefully and initial each paragraph.

I hereby release MMJ Doctors, all its employees from any liability whatsoever associated with or connected to consultation and/or use of cannabis. I acknowledge that I am legally responsible for and aware of the potential side effects associated with cannabis. I understand that no physician, physician assistant, nurse practitioner, mid-level practitioner, nurse, pharmacist, or administrative personnel can guarantee that cannabis will provide the results I seek. I am participating in this program by my own choice, and assume all responsibility for my use of cannabis. MMJ Doctors is a practice limited to evaluations of patients and ordering of medical cannabis products for those patients qualified under New York law. The physician, physician assistant, nurse practitioner or mid-level practitioner at MMJ Doctors, will perform as consultants and will not assume the role as the attending physician for patients. All patients should be under the care of a primary care physician. It is the responsibility of the patient to inform his/her physicians of cannabis product use. Cannabis products will NOT be provided by MMJ Doctors. Patients have the right to select the dispensary from which they will purchase the products. Patients will be evaluated in-person or online (telehealth platform) by the physician, physician assistant, nurse practitioner or mid-level practitioner prior to ordering of any cannabis products. Not all patients evaluated will be determined to be appropriate for cannabis use. I fully understand that it is my responsibility to have an annual in-person physical examination along with necessary follow-up consultations. Your registry ID card does not give you the legal right to use recreational marijuana. Your registry ID card and certification do allow you to purchase your cannabis recommendation from a state-approved dispensary. You may test positive on a drug test for marijuana by using medical marijuana or low-thc cannabis purchased from a dispensary which may not be acceptable to your employer or other entities. Certification and use of medical marijuana is not to replace your traditional pharmaceutical therapy and/or treatment plan and you will still need to be managed by your primary care provider. I am a resident of New York and have not misrepresented any information to Medical MMJ DOCTORS. I am not an agent of the federal government here for the purpose of investigation. The use of recording equipment is not allowed. Electronic Communications: By agreeing to this notice, you consent to receive electronic communications. These electronic communications may include notices about applicable fees and charges, transactional information and other information concerning or related to services provided. These electronic communications are part of your relationship with MMJ Doctors. You agree that any notices, agreements, disclosures or other communications that we send you electronically will satisfy any legal communication requirements, including that such communications be in writing