Intake

[et_pb_section fb_built=”1″ _builder_version=”3.22″ custom_padding=”2px|||||”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” min_height=”221px”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_image src=”https://www.medicalmarijuanadoctormassachusetts.com/wp-content/uploads/2020/04/CCC-Logo-Massachusetts.png” url=”https://medicalmarijuanadoctorarkansas.com/” _builder_version=”4.4.2″ max_width=”17%” module_alignment=”center”][/et_pb_image][et_pb_text _builder_version=”4.4.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width=”800px” module_alignment=”center”]

Intake Form

If you have medical records, or you are sure you will have them by your preferred appointment time, complete this form to confirm that you have a qualifying condition and that you consent to being seen as a patient.

[/et_pb_text][et_pb_toggle title=”To complete the Intake Form, click HERE.” closed_toggle_background_color=”#b3b3b3″ icon_color=”#474747″ _builder_version=”4.4.2″ global_module=”270″]

[/et_pb_toggle][et_pb_button button_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoiaG9tZV91cmwiLCJzZXR0aW5ncyI6e319@” button_text=”Back to the Homepage” button_alignment=”center” _builder_version=”4.4.2″ _dynamic_attributes=”button_url”][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.4.2″][et_pb_row _builder_version=”4.4.2″][et_pb_column type=”4_4″ _builder_version=”4.4.2″][et_pb_text _builder_version=”4.4.2″]

During the COVID-19 Crisis we are offering telemedicine visits only, by appointment only.

[/et_pb_text][et_pb_text _builder_version=”4.4.2″ hover_enabled=”0″]

Harvard Square, One Mifflin Place, Suite 400, Cambridge, MA.

[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

However, here are a couple of examples in which you may face problems. generic cialis This is where things may start to get a little complicated.