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CED Clinic Patient Intake Form

CED Clinic serves to educate consumers about the medical properties and value of Cannabis. We help facilitate appropriate evaluations, and/or state-sponsored certifications, of patients with the Massachusetts Medical Marijuana Program, as well as for Maine, Vermont, Rhode Island, and New Hampshire. CED is an organization dedicated to combating, through education and information, stigmas associated with cannabis. Advances in science, medical research, and modern product controls underscore the ability of medicinal cannabis to be a viable and empowering treatment option for patients. Under Dr. Caplan, CED believes that discussions concerning cannabis, and knowledge concerning its benefits, must be more accessible if the misinformation around cannabis is to be overcome. CED Foundation seeks to shine a light upon research, data, and science that support medicinal cannabis’ beneficial aspects. As part of the registration process, you will receive an email from the state to confirm that you are a patient. This email will provide instructions for completing the registration process, similar to the information you will receive today. After your visit, you must follow through with the brief, online steps in order for your certification to be processed. For you to be considered an active, legal patient able to use medical cannabis in Massachusetts, all steps must be completed. If you, the patient, do not complete the registration process with the Massachusetts Medical Marijuana Program, you will not be considered a legal patient in Massachusetts. Note: All new patients are encouraged to please return for a timely follow-up evaluation. This allows us to help ensure that you are enjoying a productive, healthy introduction to the use of therapeutic cannabis. Massachusetts requires a “bona fide” relationship between physician and patient of the "Medical Marijuana Program". This follow up visit (and others are always welcome) helps to satisfy this state legal guideline. Please Note: In order to become registered in the Massachusetts program, residency is required, and Massachusetts requires the following specific information:
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Appointment Details

Are you a New Patient to CED Clinic

Are you a New Patient to CED Clinic
A
B

Have you booked your appointment yet?

Have you booked your appointment yet?
A
B

Are you certifying as an Adult or on behalf of a Pediatric Patient (or guardians of someone who does not make their own medical decisions)?

Are you certifying as an Adult or on behalf of a Pediatric Patient (or guardians of someone who does not make their own medical decisions)?
A
B
C