Fl patient intake 2026

1. Click ‘Get Form’ to open the fl patient intake form in the editor.
2. Begin by filling out the General Information section. Enter your first name, middle name, last name, date of birth, address (street, city, state, zip), telephone number, and email. Indicate if you can be contacted via email or text.
3. Proceed to the Medical Information section. Answer questions regarding your current medical condition and whether you are under a physician's care. If applicable, provide details about your primary care physician.
4. Continue by answering questions about previous evaluations for medical marijuana and any relevant medical history. Be sure to disclose any medications you are currently taking and any allergies.
5. Complete the signature section at the end of the form to confirm that all information provided is accurate and truthful.

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